Individual provider Active NPI

Thomas Michael Doolin, PA-C

  • Physician Assistant
  • Amsterdam, NY
National Provider Identifier
1043347784
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004415-1 Issued in NY
Practice address
4988 State Highway 30
Amsterdam, NY 12010-7520
Phone
(518) 841-3580
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004415-1 NY Primary

Addresses

Primary practice location

4988 State Highway 30
Amsterdam, NY 12010-7520

Mailing address

711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000358 NY Practitioner - Physician Assistant 5698709954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Albany Medical College of Union University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

1 Cooley HTS
Delanson, NY 12053-2442
Phone (518) 895-2000

111 Barton Hill Rd
Schoharie, NY 12157-4806
Phone (518) 295-8521

136 Pkwy Dr
Cobleskill, NY 12043-5150
Phone (518) 234-2555

178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456

Hospital & facility affiliations

  • HCR / HCR Home Care Chha (Oneonta) Home health agency, Oneonta, NY, CCN 337083
  • At Home Care Inc Chha Home health agency, Oneonta, NY, CCN 337233
  • Helios Care Hospice, Oneonta, NY, CCN 331524
  • Cobleskill Regional Hospital Hospital, Cobleskill, NY, CCN 331320

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004415NYMDMental Health Counselor
4415NYMDClinical Psychologist
004415-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Sep 16, 2019 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Sep 16, 2019 Accepting new patients
Community Care Physicians, PLLC Past Accepting new patients
Community Care Physicians, PC Past Accepting new patients
Island Medical Empire State, PLLC Physician Assistant Past Accepting new patients

Locations

136 Parkway Dr
Cobleskill, NY 12043
Phone (518) 234-2555

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

1 Norton Ave
Oneonta, NY 13820
Phone (607) 431-5003

111 Barton Hill Rd
Schoharie, NY 12157
Phone (518) 295-8521

Organizations & group practices 6

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 6

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1043347784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4988 STATE HIGHWAY 30",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107520",
            "telephone_number": "518-841-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLIN",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004415-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.