Individual provider Active NPI

Joseph M Tito, MD

  • Surgery Physician
  • Healdsburg, CA
National Provider Identifier
1073570131
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
213255 Issued in MA
Practice address
1312 Prentice Dr
Healdsburg, CA 95448-3381
Phone
(707) 433-3383
NPI assigned
May 1, 2006
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 213255 MA Primary

Addresses

Primary practice location

1312 Prentice Dr
Healdsburg, CA 95448-3381

Mailing address

1375 University St
Healdsburg, CA 95448-3382
Phone (707) 433-3383

Other identifiers 1

IdentifierTypeStateIssuer
0172928MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170710001298 CA Practitioner - General Surgery 1951333962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Rochester School of Medicine and Dentistry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norcal Healthconnect LLCGroup PAC ID 2466864038, shared by 5 NPIs, 8 clinicians

Practice addresses (Care Compare)

1312 Prentice Dr
Healdsburg, CA 95448-3381
Phone (707) 433-3383

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213255MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Healthconnect LLC CurrentSince Feb 22, 2024 Accepting new patients
Norcal Healthconnect LLC CurrentSince Feb 22, 2024 Accepting new patients
Norcal Healthconnect LLC Current Accepting new patients
North Sonoma County Health Care District Past Accepting new patients
Morton Physician Associates Inc Surgery Past Accepting new patients

Locations

1312 Prentice Dr
Healdsburg, CA 95448
Phone (707) 433-3383

1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025

110 Lynch Creek Way
#B
Petaluma, CA 94954
Phone (707) 522-4348

Interoperability endpoints

  • Direct secure messaging: joseph_tito_md@yourcarecommunity.org
  • Direct secure messaging: joseph.tito@hpg.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1073570131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 UNIVERSITY ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483382",
            "telephone_number": "707-433-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 PRENTICE DR",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483381",
            "telephone_number": "707-433-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITO",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "213255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172928",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

Verify at the official NPI Registry.