Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul Blackcloud, MD

Individual provider Dermatology Physician · NPI 1417319187

Paul Blackcloud, MD is a Dermatology in Rochester, New York. Graduated from Columbia University College of Physicians and Surgeons in 2016, 10 years ago. Practices with University Dermatology Associates, a 26-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

40 Celebration Dr
Rochester, NY 14620-2664
Phone: (585) 275-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 309252 (NY)

Record details

NPI number1417319187
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address601 Elmwood Ave Box 278797, Rochester, NY 14642-5631

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2016 (10 years in practice)
Group practice University Dermatology Associates — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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