David Martin Tinkelman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

133341 Issued in NY

Practice address

6 Sweden LN
Brockport, NY 14420-2516

Phone

(585) 637-0060

Fax

(585) 637-2911

NPI assigned

Jan 6, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Oak Orchard Community Health Center Inc.

  dba Oak Orchard Health

  • Federally Qualified Health Center (FQHC)
  • Brockport, NY
  • NPI 1598707812
  Medicare reassignment NPD
• David M Tinkelman MD PC

  • Pediatrics Physician
  • Brockport, NY
  • NPI 1013984814
  NPD Authorized official
• Oak Orchard Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Albion, NY
  • NPI 1407453244
  NPD
• Oak Orchard Community Health Center, Inc.

  dba Oak Orchard Health - Hornell

  • Federally Qualified Health Center (FQHC)
  • Hornell, NY
  • NPI 1548647779
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1356671812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SWEDEN LN",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202516",
            "telephone_number": "585-637-0060",
            "fax_number": "585-637-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SWEDEN LN",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202516",
            "telephone_number": "585-637-0060",
            "fax_number": "585-637-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKELMAN",
        "first_name": "DAVID",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "133341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00507488",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE ROCHESTER",
            "identifier": "P010133341",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Maxwell Thaney, D.D.S.
• The Optical Room Inc (the towpath optician)
• Madison Theetge, RN, BSN
• Thomas Maxwell Thaney D.D.S.
• Joseph Timpani, RPH
• Adam Tinkous, RPH
• Ashlee Elizabeth Tobey, LMSW
• Asia Todd
• Beth Oldis Toly-Hughes, CNM
• Katherine Marie Tracy, LPN

• Pediatrics Physician in Brockport, NY
• Providers in Brockport, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.