NPIMap

Individual provider Active NPI

Timothy James Adamowicz II, DO

  • Internal Medicine Physician
  • Sandusky, OH
National Provider Identifier
1760645170
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.010910 Issued in OH
Practice address
701 Tyler St
Sandusky, OH 44870-3321
Phone
(419) 557-7480
Fax
(419) 557-7533
NPI assigned
Jul 7, 2008
Last updated
Apr 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT012736 PA
Internal Medicine Physician 207R00000X 34.010910 OH Primary

Addresses

Primary practice location

701 Tyler St
Sandusky, OH 44870-3321

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 626-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814001058 OH Practitioner - Medical OncologyPractitioner - Internal Medicine 3577743509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

703 Tyler St
Suite 150
Sandusky, OH 44870-3392
Phone (419) 625-8722

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT012736PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC Internal Medicine CurrentSince Apr 6, 2020 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
North Coast Professional Company, LLC Internal Medicine Current Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Apr 6, 2020 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

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

701 Tyler St
Sandusky, OH 44870
Phone (419) 557-6959

703 Tyler St
Ste 150
Sandusky, OH 44870
Phone (419) 625-8722

Interoperability endpoints

  • Direct secure messaging: tadamowicz243073@ehrdirect.uhhospitals.org
  • Direct secure messaging: tadamowicz244147@direct.ccf.org
  • Direct secure messaging: timothy.adamowicz@fpg.medicity.net

Organizations & group practices 6

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 12

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1760645170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-626-6161",
            "fax_number": "419-502-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TYLER ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703321",
            "telephone_number": "419-557-7480",
            "fax_number": "419-557-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMOWICZ",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT012736",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.010910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.