Active NPI
Paul Terry Tsivitse, MD
- Pulmonary Disease Physician
- Akron, OH
National Provider Identifier
1083602262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35-05-8009
- Practice address
- 75 Arch St
Suite 206
Akron, OH 44304-1429 - Phone
- (330) 535-1510
- Fax
- (330) 535-1638
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35-05-8009 | OH | |
| Pulmonary Disease Physician | 207RP1001X | 35-05-8009 | OH | Primary |
Addresses
Primary practice location
75 Arch St
Suite 206
Akron, OH 44304-1429
Mailing address
525 E Market St
1N
Akron, OH 44304-1619
Phone (330) 375-3588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0495067 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit County Intensive Care Physicians Inc | Critical Care Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Akron, OH
- NPI 1871578229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1083602262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E MARKET ST",
"address_2": "1N",
"city": "AKRON",
"state": "OH",
"postal_code": "443041619",
"telephone_number": "330-375-3588",
"fax_number": "330-375-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 ARCH ST",
"address_2": "SUITE 206",
"city": "AKRON",
"state": "OH",
"postal_code": "443041429",
"telephone_number": "330-535-1510",
"fax_number": "330-535-1638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSIVITSE",
"first_name": "PAUL",
"middle_name": "TERRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OH",
"license": "35-05-8009",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35-05-8009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0495067",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.