Timothy James Adamowicz II, DO
Individual provider Active NPI Internal Medicine Physician · Sandusky, OH
NPI 1760645170 · NPPES record last updated Apr 7, 2020
Key facts
- NPI
- 1760645170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 34.010910 (OH)
- Practice address
- 701 Tyler St
Sandusky, OH 44870-3321 - Phone
- (419) 557-7480
- Fax
- (419) 557-7533
- NPI assigned
- Jul 7, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Medical Oncology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Ohio Medical Specialists,LLC
Practice addresses (Care Compare)
703 Tyler St
Suite 150
Sandusky, OH 44870-3392
Phone (419) 625-8722
Hospital & facility affiliations
- Fisher-Titus Hospital
- Firelands Regional Medical Center
- Bellevue Hospital
- Mercy Health - Willard Hospital
- Uh Cleveland Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 59.13
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.81
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20130814001058 | OH | Practitioner - Medical Oncology |
3577743509 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT012736 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Coast Professional Company, LLC | Internal Medicine | Current | Accepting new patients |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Northern Ohio Medical Specialists LLC | Internal Medicine | Current |
Accepting new patients |
| Northern Ohio Medical Specialists, LLC | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Past | Accepting new patients |
Locations
615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131
701 Tyler St
Sandusky, OH 44870
Phone (419) 557-6959
3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841
703 Tyler St
Ste 150
Sandusky, OH 44870
Phone (419) 625-8722
Interoperability endpoints
- tadamowicz244147@direct.ccf.org
- tadamowicz243073@ehrdirect.uhhospitals.org
- timothy.adamowicz@fpg.medicity.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OT012736 | PA | |
| Internal Medicine Physician | 207R00000X | 34.010910 | OH | Yes |
Addresses
Primary practice location
701 Tyler St
Sandusky, OH 44870-3321
Mailing address
PO Box 378
Sandusky, OH 44871-0378
Phone (419) 626-6161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0087383 | Medicaid | OH |
Other providers in Sandusky, OH
- Marla J Aaron
- Renee Nicole Aaron
- Abilities Pediatric Therapy LLC
- Ability Works, Inc
- Academy of Arts and Sciences
- Charlene Jeanette Adams
- Patrice Adcock
- Genevra Addis
- Candace Adelman
- Jessica Susan Adkins
All providers in Sandusky, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2020. 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.