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PAUL TARECTECAN
NPI 1629530472
Pediatrics in Columbia, MD

Active since April 02, 2019PECOS Enrolled
5755 CEDAR LN, COLUMBIA, MD 21044(410) 740-7557(410) 884-4887 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2023, Apr 2, 2019 (2 updates tracked since 2019).

About Paul Tarectecan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL TARECTECAN (NPI 1629530472) is an individual pediatrics provider in Columbia, Maryland, licensed in Maryland (D94184) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1629530472
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePAUL TARECTECAN
Location Address5755 CEDAR LNColumbia, MD 21044-2912
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 933-1390
Phone(410) 740-7557
Fax(410) 884-4887
Sole ProprietorNo
Enumeration DateApril 2, 2019
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1629530472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D94184
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5755 CEDAR LN, Columbia, MD 21044
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Secondary Practice Location 1

Location 1Maimonides Medical Center, 4802 10th AvenueBrooklyn, NY 11219 · Phone (718) 283-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Tarectecan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Paul Tarectecan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Johns Hopkins University
Same address
Emergency Medicine
5755 CEDAR LN
Columbia, MD 21044
  • Reassigned Medicare billing, Maryland enrollment
  • 25 clinicians in this Medicare group
NPI 1023772290 (410) 740-7777

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. WYNNE BREED M.D.
Emergency Medicine
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 740-7777
DR. LUCAS E NIKKEL M.D.
Orthopaedic Surgery
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (443) 546-1570
ANAM BUTT MD
Family Medicine
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 740-7890
JOHNS HOPKINS UNIVERSITY
Emergency Medicine
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 740-7777
MOHAMMED R GHEBA M.D.
Surgery
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (443) 718-3160
MRS. TONI MARIE KELLER PA-C
Physician Assistant
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 720-8000
CEDAR HOUSE PHYSICIANS
Emergency Medicine
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 740-7890
MS. NANCY ELENA ACS LCSW-C
Social Worker (Clinical)
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 740-7890

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 Paul Tarectecan's NPI number?

The NPI number for Paul Tarectecan is 1629530472. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Paul Tarectecan located?

Paul Tarectecan practices at 5755 Cedar Ln, Columbia, MD 21044. The listed phone number is (410) 740-7557.

What is Paul Tarectecan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paul Tarectecan enrolled in Medicare?

Yes. Paul Tarectecan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Tarectecan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Tarectecan reassigns Medicare benefits to Johns Hopkins University (Columbia, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Tarectecan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paul Tarectecan was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.