Individual provider Active NPI

Donald Joseph Tamulonis Jr., MD

  • Neurology Physician
  • Youngstown, OH
National Provider Identifier
1073511531
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35043841 Issued in OH
Practice address
1340 Belmont Ave
Suite 2200
Youngstown, OH 44504-1125
Phone
(330) 746-7400
Fax
(330) 746-7436
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 35043841 OH
Neurology Physician 2084N0400X 35043841 OH Primary

Addresses

Primary practice location

1340 Belmont Ave
Suite 2200
Youngstown, OH 44504-1125

Mailing address

1340 Belmont Ave
Ste 2200
Youngstown, OH 44504-1125
Phone (330) 746-7400

Other identifiers 2

IdentifierTypeStateIssuer
H141360OtherOHMEDICARE PTAN
0557026MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070720000367 OH Practitioner - Neurology 1850394032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Toledo College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown Specialty Care LLCGroup PAC ID 3476950296, 463 clinicians

Practice addresses (Care Compare)

905 Sahara TRL
Poland, OH 44514-3687
Phone (330) 729-8970

Hospital & facility affiliations

  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35043841OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Dec 16, 2012 Accepting new patients
Mercy Health Physicians Youngstown, LLC Neurology Current Accepting new patients
Advanced Neurology Associates Inc PastSince Aug 11, 1986 Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1950 Niles Cortland Rd NE
Ste 1
Warren, OH 44484
Phone (330) 306-0395

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8423 Market St
Youngstown, OH 44512
Phone (330) 793-7966

1340 Belmont Ave
Ste 2200
Youngstown, OH 44504
Phone (330) 480-7350

905 Sahara Trl
Youngstown, OH 44514
Phone (330) 726-0100

250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010

Interoperability endpoints

  • Direct secure messaging: dtamulonis16419@direct.bsmhealth.org

Organizations & group practices 5

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 3

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1073511531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BELMONT AVE",
            "address_2": "STE 2200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041125",
            "telephone_number": "330-746-7400",
            "fax_number": "330-746-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BELMONT AVE",
            "address_2": "SUITE 2200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041125",
            "telephone_number": "330-746-7400",
            "fax_number": "330-746-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMULONIS",
        "first_name": "DONALD",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "OH",
            "license": "35043841",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35043841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H141360",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0557026",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.