Individual provider Active NPI

Tawana Hill, D.O.

  • Family Medicine Physician
  • East Patchogue, NY
National Provider Identifier
1750519476
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2605441 Issued in NY
Practice address
100 Hospital Rd Ste 203
East Patchogue, NY 11772-8814
Phone
(631) 475-6900
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

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 2605441 NY Primary

Addresses

Primary practice location

100 Hospital Rd Ste 203
East Patchogue, NY 11772-8814

Mailing address

100 Hospital Rd Ste 203
East Patchogue, NY 11772-8814
Phone (631) 476-6900

Other identifiers 1

IdentifierTypeStateIssuer
8887346433OtherNYPICOS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000667 NY Practitioner - Family Practice 6002076585 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2605441NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahrc Health Care Inc CurrentSince Jun 26, 2017 Accepting new patients
Ahrc Healthcare Inc. CurrentSince Jun 26, 2017 Accepting new patients
Care for the Homeless Current Accepting new patients
Premier Healthcare, Inc. CurrentSince Nov 22, 2017 Accepting new patients
Premier Healthcare, Inc. CurrentSince Nov 22, 2017 Accepting new patients
Care for the Homeless CurrentSince Feb 12, 2025 Accepting new patients
Care for the Homeless CurrentSince Feb 12, 2025 Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

30 E 33rd St
Fl 5
New York, NY 10016
Phone (212) 366-4459

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

83 Maiden Ln
Fl 6
New York, NY 10038
Phone (212) 780-2378

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: tawana.hill@cfth.eclinicaldirectplus.com
  • Direct secure messaging: thill88294@direct-chsli.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352678400000",
    "number": "1750519476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD STE 203",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728814",
            "telephone_number": "631-476-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD STE 203",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728814",
            "telephone_number": "631-475-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "TAWANA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2605441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PICOS",
            "identifier": "8887346433",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.