Organization Active NPI

Tmo Medical, PC

  • Internal Medicine Physician
  • Niagara Falls, NY
National Provider Identifier
1407081045
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
216696 Issued in NY
Legal business name
TMO MEDICAL, PC
Practice address
4515 Military Rd
Niagara Falls, NY 14305-1335
Phone
(716) 236-7880
Fax
(716) 236-7885
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Dr. Todd M Orszulak Jr., DONPI 1881761864
Title
President/Owner
Phone
(716) 236-7880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 216696 NY Primary

Addresses

Primary practice location

4515 Military Rd
Niagara Falls, NY 14305-1335

Mailing address

4515 Military Rd
Niagara Falls, NY 14305-1335
Phone (716) 236-7880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090611000325 NY Part B Supplier - Clinic/Group Practice 9436209533 Receives reassigned benefits from 3 practitioners
Practice locations: Niagara Falls, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1100568Tmo Medical PC4515 Military Rd, Niagara Falls, NY 14305Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1407081045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051335",
            "telephone_number": "716-236-7880",
            "fax_number": "716-236-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051335",
            "telephone_number": "716-236-7880",
            "fax_number": "716-236-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMO MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "ORSZULAK",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "716-236-7880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "216696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.