Thomas Ciolino, MD
Individual provider Active NPI Internal Medicine Physician · Columbia, MO
NPI 1518924646 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1518924646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 114586 (MO)
- Practice address
- 401 Keene St
Columbia, MO 65201-6625 - Phone
- (573) 874-3300
- Fax
- (573) 876-1695
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Orthopaedic Group LLP
Practice addresses (Care Compare)
401 N Keene St
Columbia, MO 65201-6625
Phone (573) 876-1615
Hospital & facility affiliations
- Boone Hospital Center
- University of Missouri Health Care
- Bothwell Regional Health Center
- Macon County Samaritan Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060310000612 | MO | Practitioner - Internal Medicine | 7517974819 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114586 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 114586 | MO | Yes |
Addresses
Primary practice location
401 Keene St
Columbia, MO 65201-6625
Mailing address
1 S Keene St
Columbia, MO 65201-7199
Phone (573) 443-2402
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209751205 | Medicaid | MO |
Other providers in Columbia, MO
- Robert J Churchill
- Steven Michael Cicero
- Amber N Cichon
- Dale M Cinciripini
- Cindy Christal
- City of Columbia
- City of Columbia
- Bailey M Clancy
- Adam T. Clapper
- Clark Supported Living
All providers in Columbia, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.