Individual provider Active NPI

Timothy Jolis, MD

  • Emergency Medicine Physician
  • Albany, NY
National Provider Identifier
1306282421
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A149206 Issued in CA
Practice address
47 New Scotland Ave
Albany, NY 12208-3412
Phone
(518) 262-3095
NPI assigned
May 15, 2013
Last updated
Sep 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 27085 WV
Emergency Medicine Physician 207P00000X 0101260038 VA
Emergency Medicine Physician 207P00000X 2016-01061 NC
Emergency Medicine Physician 207P00000X A149206 CA Primary

Addresses

Primary practice location

47 New Scotland Ave
Albany, NY 12208-3412

Mailing address

47 New Scotland Ave
Department of Emergency Medicine
Albany, NY 12208-3412

Other identifiers 1

IdentifierTypeStateIssuer
63336MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161024001413 WV Practitioner - Emergency Medicine 5991093106 Reassigns benefits to 1 organization
I20170828002075 CA Practitioner - Emergency Medicine 5991093106 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13737 Noel Rd
Suite 1600
Dallas, TX 75240-1374

180 Via Verde
Suite 100
San Dimas, CA 91773-3989

180 Via Verde
Suite 100
San Dimas, CA 91773-3993

180 Voa Verde
Suite 100
Canton, OH 91773-3993

1834 N El Dorado Ave
Ontario, CA 91764-1153

2100 Powell St
Emeryville, CA 94608-1826

21860 Burbank Blvd
Suite 120
Woodland Hills, CA 91367-7458

4535 Dressier Rd NW
Canton, OH 44718-2545

4932 Sunbeam Rd
Jacksonville, FL 32257-6128

5 Marion Ave
Sausalito, CA 94965-2521

5000 Hopyard Rd
Pleasanton, CA 94588-3146

5000 Hopyard Rd
Suite 410
Pleasanton, CA 94588-3145

5820 Owens Dr
Pleasanton, CA 94588-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.16 of 100Reported as group
Quality
91.91
Improvement activities
40
Cost
79.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149206CAMDEmergency Medicine Physician
0101260038VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Big River Emergency Physicians Inc Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Mount Eddy Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
California Emergency Associates a California Medical Corporation Emergency Medicine CurrentSince Jul 3, 2019 Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Allied West Virginia Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Clinic Services of California Medical Group Inc Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Foothill Emergency Medical Associates, Inc Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
San Francisco Physicians International Medical Group, Inc Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Grand Avenue Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Feb 7, 2018 Accepting new patients

Locations

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7600

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

600 Marine Blvd
Moss Beach, CA 94038
Phone (650) 563-7100

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

845 Jackson St
San Francisco, CA 94133
Phone (415) 677-2300

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

Interoperability endpoints

  • Direct secure messaging: timothy.jolis.1@25843.direct.athenahealth.com
  • Direct secure messaging: tjolis454874@direct-ucsfmedicalcenter.org
  • Direct secure messaging: tjolis456167@hisp.ehr.sutterhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1306282421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLIS",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "27085",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101260038",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2016-01061",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A149206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63336",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.