Individual provider Active NPI

Conrado N Tojino Jr., DO

  • Urology Physician
  • Augusta, GA
National Provider Identifier
1184717902
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
209981-1 Issued in NY
Practice address
1220 George C Wilson Dr
Augusta, GA 30909-4501
Phone
(762) 716-1012
Fax
(762) 716-1013
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 209981-1 NY Primary

Addresses

Primary practice location

1220 George C Wilson Dr
Augusta, GA 30909-4501

Mailing address

3696 Wheeler Rd
Augusta, GA 30909-6520
Phone (706) 736-1830

Other identifiers 1

IdentifierTypeStateIssuer
01896395MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20141009001955 GA Practitioner - Urology 3274626379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Oncology Associates PCGroup PAC ID 8921089756, 36 clinicians

Practice addresses (Care Compare)

3696 Wheeler Rd
Augusta, GA 30909-6520
Phone 7067361830213

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
  • Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034

Merit-based Incentive Payment System (MIPS)

Final score
82.47 of 100Reported as group
Quality
41.03
Promoting interoperability
97
Improvement activities
40
Cost
98.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209981-1NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Oncology Associates PC Urology CurrentSince Sep 5, 2023 Accepting new patients
Augusta Oncology Associates PC CurrentSince Sep 5, 2023 Accepting new patients
Mid-Hudson Urological Associates Urology Current Accepting new patients

Locations

3696 Wheeler Rd
Augusta, GA 30909
Phone (706) 736-1830

1220 George C Wilson Dr
Augusta, GA 30909
Phone (706) 941-8206

279 Main St
New Paltz, NY 12561
Phone (845) 255-2930

600 Stony Brook Ct
Newburgh, NY 12550
Phone (845) 391-8557

Organizations & group practices 3

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1184717902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3696 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096520",
            "telephone_number": "706-736-1830",
            "fax_number": "706-650-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 GEORGE C WILSON DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094501",
            "telephone_number": "762-716-1012",
            "fax_number": "762-716-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOJINO",
        "first_name": "CONRADO",
        "middle_name": "N",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "209981-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01896395",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.