Dr. Paul Manuel Tejera, M.D.
Internal Medicine, Endocrinology, Diabetes & Metabolism in Canton, NY. Individual provider (NPI-1).
NPI number1295047736
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1295047736
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul Manuel Tejera
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2010
- Certification date
- Mar 31, 2021
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ENDOCRINOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | 279414 | NY | Yes |
| 207R00000X | Internal Medicine | MT196680 | PA |
Practice location
6119 Us Highway 11Canton, NY 13617-3991
Phone 315-261-5810
Mailing address
50 Leroy StPotsdam, NY 13676-1786
Phone 315-265-3300
Other practice locations
50 Leroy St
Potsdam, NY 13676-1786
Potsdam, NY 13676-1786
Phone 315-265-3300
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