Individual provider Active NPI

Anthony Michael Tolisano, M.D.

  • Otolaryngology Physician
  • Bethesda, MD
National Provider Identifier
1003178617
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD472279 Issued in PA
Practice address
8901 Rockville Pike
Bethesda, MD 20899
Phone
(301) 295-4664
Fax
(301) 295-6666
NPI assigned
Jun 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD472279 PA Primary

Addresses

Primary practice location

8901 Rockville Pike
Bethesda, MD 20899

Mailing address

8901 Rockville Pike
Bethesda, MD 20899
Phone (301) 295-4664

Other practice location 1

1705 Warren Ave Ste 204-205
Williamsport, PA 17701-2647
Phone (570) 320-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201207000723 PA Practitioner - Otolaryngology 8325388457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

1705 Warren
Williamsport, PA 17701-2647
Phone (570) 320-7474

1705 Warren Ave
Williamsport, PA 17701-2647
Phone (570) 321-2020

416 S Main St
Mansfield, PA 16933-1510

700 High St
Williamsport, PA 17701-3100

700 High St
Williamsport, PA 17701-3198

Hospital & facility affiliations

  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
62.07
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD472279PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services CurrentSince Dec 11, 2020 Accepting new patients
Susquehanna Physician Services Otolaryngology CurrentSince Dec 11, 2020 Accepting new patients

Locations

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

1705 Warren Ave
Ste 204205
Williamsport, PA 17701
Phone (570) 320-7474

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

1705 Warren Ave
Ste U4
Williamsport, PA 17701
Phone (570) 320-7474

Interoperability endpoints

  • Direct secure messaging: anthony.m.tolisano@upmcdirect.com
  • Direct secure messaging: atolisano252302@upmc.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1003178617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 ROCKVILLE PIKE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20899",
            "telephone_number": "301-295-4664",
            "fax_number": "301-295-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 ROCKVILLE PIKE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20899",
            "telephone_number": "301-295-4664",
            "fax_number": "301-295-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Warren Ave Ste 204-205",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177012647",
            "country_code": "US",
            "telephone_number": "570-320-7474",
            "fax_number": "570-320-7479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLISANO",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-10",
        "last_updated": "2026-09-10",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD472279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.