Individual provider Active NPI

Timothy John Kujawski, PA

  • Physician Assistant
  • Ithaca, NY
National Provider Identifier
1750807319
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
10 Arrowood Dr
Ithaca, NY 14850-1857
Phone
(607) 274-4150
NPI assigned
Aug 16, 2017
Last updated
Aug 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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 NU Primary

Addresses

Primary practice location

10 Arrowood Dr
Ithaca, NY 14850-1857

Mailing address

10 Arrowood Dr
Ithaca, NY 14850-1857

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
I20171009003354 NY Practitioner - Physician Assistant 5698040152 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

1092 Route 222
Cortland, NY 13045-1831
Phone (607) 218-3708

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

740 S Main St
Ithaca, NY 14850-5377
Phone (607) 319-4563

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cayuga Emergency Physicians, LLP CurrentSince Sep 29, 2017 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Apr 14, 2025 Accepting new patients

Locations

75 Remit Dr
Chicago, IL 60675

1129 Commons Ave
#C
Cortland, NY 13045
Phone (607) 339-0456

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

1956 Ridge Rd
West Seneca, NY 14224
Phone (716) 608-0041

Interoperability endpoints

  • Direct secure messaging: tkujawski27831@direct.xtensys.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1750807319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ARROWOOD DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ARROWOOD DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501857",
            "telephone_number": "607-274-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUJAWSKI",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.