Individual provider Active NPI

Tajdhary Tiwari, MD

  • Emergency Medicine Physician
  • South Ozone Park, NY
National Provider Identifier
1427472182
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
51500 Issued in KY
Practice address
10923 111TH St
South Ozone Park, NY 11420-1015
Phone
(347) 385-6059
NPI assigned
Feb 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2015-0699 NM
Emergency Medicine Physician 207P00000X 51500 KY Primary
Internal Medicine Physician 207R00000X MD461755 PA
Emergency Medicine Physician 207P00000X MD461755 PA
Emergency Medicine Physician 207P00000X 281938 NY
Emergency Medicine Physician 207P00000X 26834 WV

Addresses

Primary practice location

10923 111TH St
South Ozone Park, NY 11420-1015

Mailing address

10923 111TH St
South Ozone Park, NY 11420-1015
Phone (347) 385-6059

Other practice location 1

240 Hospital Rd
Whitesburg, KY 41858-7627
Phone (606) 633-3500

Other practice location 2

5000 Ky Route 321
Prestonsburg, KY 41653-9113
Phone (606) 886-8511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM, WV, NY, PA, KY, TX, AZ, LA9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20151104003184 FL Practitioner - Internal Medicine 8022328921 Reassigns benefits to 1 organization
I20151110001141 NM Practitioner - Internal Medicine 8022328921 Reassigns benefits to 3 organizations
I20170531000979 WV Practitioner - Emergency Medicine 8022328921 Reassigns benefits to 2 organizations
I20180126000752 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 8022328921 Reassigns benefits to 4 organizations
I20190809001287 PA Practitioner - Emergency MedicinePractitioner - Internal Medicine 8022328921 Reassigns benefits to 5 organizations
I20190904002868 KY Practitioner - Emergency Medicine 8022328921 Reassigns benefits to 2 organizations
I20210323001270 TX Practitioner - Internal Medicine 8022328921 Reassigns benefits to 5 organizations
I20220802003709 AZ Practitioner - Internal Medicine 8022328921 Reassigns benefits to 2 organizations
I20250918003685 LA Practitioner - Internal Medicine 8022328921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delphi Healthcare PLLCGroup PAC ID 9537229661, 68 clinicians
Congress Emergency Group LLCGroup PAC ID 1557580354, 16 clinicians
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

116 Interstate Pkwy
Bradford, PA 16701-1036
Phone (814) 368-4143

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

399 Knickerbocker Ave
Brooklyn, NY 11237-4101
Phone (718) 571-9168

515 Main St
Olean, NY 14760-1513
Phone (716) 375-6104

Hospital & facility affiliations

  • Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006
  • Olean General Hospital Hospital, Olean, NY, CCN 330103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51500KYMDEmergency Medicine Physician
281938NYMDEmergency Medicine Physician
26834WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Texas Emergency Group LLC Emergency Medicine CurrentSince Jan 16, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Congress Emergency Group LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jun 25, 2023 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Acute Care Specialists Emergency Medicine CurrentSince May 23, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 18, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Progressive Medical Associates PLLC Emergency Medicine CurrentSince Aug 16, 2022 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Taj Medical PLLC Emergency Medicine CurrentSince Mar 29, 2020 Accepting new patients
Nason Physician Practices LLC Emergency Medicine Current Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Jun 17, 2019 Accepting new patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Jul 15, 2019 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jun 25, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Nov 27, 2018 Accepting new patients
Nason Physician Practices LLC CurrentSince Jun 17, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jun 17, 2019 Accepting new patients
Floyd Emergency Group, LLC Emergency Medicine CurrentSince Aug 5, 2019 Accepting new patients
Union Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
University of Pittsburgh Physicians Internal Medicine CurrentSince Oct 18, 2023 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 8, 2020 Accepting new patients
Nason Physician Practices LLC Emergency Medicine CurrentSince Jun 17, 2019 Accepting new patients
Delphi Healthcare PLLC Emergency Medicine CurrentSince Jan 16, 2025 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 8, 2020 Accepting new patients
Beckley Emergency Physicians LLC Emergency Medicine CurrentSince Mar 21, 2017 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of New Mexico-TCG LLC Internal Medicine CurrentSince Nov 16, 2019 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Level One Emergency Specialists LLC Emergency Medicine PastSince Mar 16, 2022 Accepting new patients

Locations (25 of 43)

4455 S I 19 Frontage Rd
Green Valley, AZ 85614
Phone (520) 393-4700

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100

10146 E Old Vail Rd
Tucson, AZ 85747
Phone (520) 229-2657

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

200 Corporate Blvd
Lafayette, LA 70508

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

399 Knickerbocker Ave
Brooklyn, NY 11237
Phone (718) 571-9168

7425 Grand Ave
Elmhurst, NY 11373
Phone (718) 478-8400

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

515 Main St
Olean, NY 14760
Phone (716) 373-2600

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

1170 Chili Ave
Rochester, NY 14624
Phone (585) 330-3374

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

Interoperability endpoints

  • Direct secure messaging: tajdhary.tiwari.1@2983.direct.athenahealth.com

Organizations & group practices 37

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.

View all 37

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": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1427472182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10923 111TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201015",
            "telephone_number": "347-385-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10923 111TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201015",
            "telephone_number": "347-385-6059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Whitesburg",
            "state": "KY",
            "postal_code": "418587627",
            "country_code": "US",
            "telephone_number": "606-633-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Ky Route 321",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416539113",
            "country_code": "US",
            "telephone_number": "606-886-8511",
            "fax_number": "606-886-1316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIWARI",
        "first_name": "TAJDHARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-14",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2015-0699",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "51500",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD461755",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD461755",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "281938",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "26834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ozone Park, NY

Sources for this page

Verify at the official NPI Registry.