Individual provider Active NPI

Timothy Frank Tramontana, MD

  • Family Medicine Physician
  • Baldwinsville, NY
National Provider Identifier
1740435999
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
259256 Issued in NY
Practice address
8278 Willett Parkway
2ND Floor
Baldwinsville, NY 13027
Phone
(315) 652-1325
Fax
(315) 857-2886
NPI assigned
Dec 1, 2008
Last updated
May 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 259256 NY Primary

Addresses

Primary practice location

8278 Willett Parkway
2ND Floor
Baldwinsville, NY 13027

Mailing address

635 Barnhill Dr # Ms 350C
Indianapolis, IN 46202-5126
Phone (317) 278-0172

Other identifiers 1

IdentifierTypeStateIssuer
03302421MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110118000760 NY Practitioner - Family Practice 5395934624 Reassigns benefits to 1 organization
I20210917001952 OH Practitioner - Family Practice 5395934624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-6116

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259256NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Aug 25, 2021 Accepting new patients
North Medical PC Family Medicine Current Accepting new patients
Duffy-Rath Physical Therapy, PC PastSince Dec 17, 2016 Accepting new patients

Locations

4103 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 637-7800

5100 W Taft Rd
Ste 1C
Liverpool, NY 13088
Phone (315) 452-2333

5100 W Taft Rd
Ste 1D
Liverpool, NY 13088
Phone (315) 452-2828

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

5100 W Taft Rd
Ste 4F
Liverpool, NY 13088
Phone (315) 234-9171

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 4

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 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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1740435999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 BARNHILL DR # MS 350C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025126",
            "telephone_number": "317-278-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8278 WILLETT PARKWAY",
            "address_2": "2ND FLOOR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "13027",
            "telephone_number": "315-652-1325",
            "fax_number": "315-857-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMONTANA",
        "first_name": "TIMOTHY",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "259256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03302421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinsville, NY

Sources for this page

Verify at the official NPI Registry.