Individual provider Active NPI

Melissa Tworkowsky, PA-C

  • Physician Assistant
  • Norwich, NY
National Provider Identifier
1568481653
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005458-1 Issued in NY
Practice address
33-39 Court St
Norwich, NY 13815-1325
Phone
(607) 337-4700
Fax
(607) 334-8306
NPI assigned
Jul 19, 2006
Last updated
Feb 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005458-1 NY Primary

Addresses

Primary practice location

33-39 Court St
Norwich, NY 13815-1325

Mailing address

33-39 Court St
Norwich, NY 13815-1325
Phone (607) 337-4700

Other identifiers 6

IdentifierTypeStateIssuer
EXCELLUS BC/BSOther201344838
1003208OtherCDPHP
0598754OtherGHI-PPO
954161OtherMVP
000000082021OtherGHI-HMO
P00216201OtherPALMETTO

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831001264 NY Practitioner - Physician Assistant 4587639794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chenango Memorial Hospital IncGroup PAC ID 7517853633, 108 clinicians

Practice addresses (Care Compare)

179 N Broad St
Norwich, NY 13815-1019
Phone (607) 337-4111

4 Newton Ave
Uhs Medical Specialties Norwich
Norwich, NY 13815-1153
Phone (607) 336-2167

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
86.36
Promoting interoperability
99
Improvement activities
40
Cost
79.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005458-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital Inc CurrentSince Oct 3, 2016 Accepting new patients
Chenango Memorial Hospital Inc CurrentSince Oct 3, 2016 Accepting new patients
Anthony Cicoria, MD, PLLC Past Accepting new patients

Locations

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

33-39 Court St
Norwich, NY 13815
Phone (607) 336-7161

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1568481653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33-39 COURT ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151325",
            "telephone_number": "607-337-4700",
            "fax_number": "607-334-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-39 COURT ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151325",
            "telephone_number": "607-337-4700",
            "fax_number": "607-334-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWORKOWSKY",
        "first_name": "MELISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005458-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "201344838",
            "identifier": "EXCELLUS BC/BS",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "1003208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-PPO",
            "identifier": "0598754",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "954161",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-HMO",
            "identifier": "000000082021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "P00216201",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

Verify at the official NPI Registry.