CONNER PAEZ
NPI 1225612476
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Conner Paez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNER PAEZ (NPI 1225612476) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Conner Paez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Conner Paez's NPI number?
The NPI number for Conner Paez is 1225612476. It was assigned to this individual provider in the NPPES registry on May 12, 2021.
Where is Conner Paez located?
Conner Paez practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.
What is Conner Paez's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Conner Paez enrolled in Medicare?
Yes. Conner Paez is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Conner Paez was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Conner Paez · NPI 1225612476
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 12, 2021.
## Identity
- **NPI:** 1225612476 (Entity type: Individual)
- **Enumerated:** May 12, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (215) 590-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225612476) · Data from the CMS NPPES public registry.