Individual provider Active NPI

Brandon Sabah Tominna, M.D.

  • Diagnostic Radiology Physician
  • Johnson City, NY
National Provider Identifier
1801087374
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
327049 Issued in NY
Practice address
32-36 Harrison St
Johnson City, NY 13790-2122
Phone
(607) 729-1999
NPI assigned
Aug 8, 2007
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301084176 MI
Diagnostic Radiology Physician 2085R0202X 327049 NY Primary
Vascular & Interventional Radiology Physician 2085R0204X 4301084176 MI
Vascular & Interventional Radiology Physician 2085R0204X 327049 NY

Addresses

Primary practice location

32-36 Harrison St
Johnson City, NY 13790-2122

Mailing address

33 Lewis Rd
FL 2
Binghamton, NY 13905
Phone (607) 770-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY2 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
I20090618000550 MI Practitioner - Diagnostic Radiology 5991855678 Reassigns benefits to 7 organizations
I20240403003137 NY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5991855678 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Borgess HospitalGroup PAC ID 5294645750, shared by 7 NPIs, 41 clinicians
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians
Ascension Borgess Lee HospitalGroup PAC ID 7719881002, 28 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640

168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-4451

1701 Gull Rd
Kalamazoo, MI 49048-1609
Phone (269) 343-1535

420 W High St
Dowagiac, MI 49047-1943
Phone (269) 783-3052

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.41 of 100Reported as group
Quality
90.71
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
86.74
Promoting interoperability
99
Improvement activities
40
Cost
70.09

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
86.36
Promoting interoperability
99
Improvement activities
40
Cost
79.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301084176MIMDDiagnostic Radiology Physician
327049NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital, Inc CurrentSince Jun 3, 2024 Accepting new patients
Delaware Valley Hospital, Inc CurrentSince May 16, 2024 Accepting new patients
Beacon Dowagiac Inc CurrentSince Jul 1, 2009 Accepting new patients
Beacon Kalamazoo Inc CurrentSince Oct 12, 2022 Accepting new patients
Delaware Valley Hospital, Inc Current Accepting new patients
Chenango Memorial Hospital Inc CurrentSince Jun 3, 2024 Accepting new patients
Beacon Dowagiac Inc Diagnostic Radiology CurrentSince Jul 1, 2009 Accepting new patients
Beacon Kalamazoo Inc Diagnostic Radiology CurrentSince Oct 12, 2022 Accepting new patients
Beacon Kalamazoo Inc Current Accepting new patients
Hillsdale Community Health Center CurrentSince Aug 12, 2025 Accepting new patients
Park Avenue Associates in Radiology PC Diagnostic Radiology CurrentSince May 4, 2024 Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients
Hillsdale Community Health Center CurrentSince Aug 12, 2025 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Chenango Memorial Hospital, Inc. Past Accepting new patients
Delaware Valley Hospital, Inc Past Accepting new patients

Locations

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

11320 S M 43 Hwy
Delton, MI 49046
Phone (269) 623-5521

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1535 Gull Rd
Ste 200
Kalamazoo, MI 49048
Phone (269) 388-6350

1541 Gull Rd
Ste 100
Kalamazoo, MI 49048
Phone (269) 226-5290

1700 Gull Rd
Kalamazoo, MI 49048
Phone (269) 342-1099

1701 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-2550

200 N Park St
Kalamazoo, MI 49007
Phone (269) 373-7453

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

6565 W Main St
Ste 135
Kalamazoo, MI 49009
Phone (269) 372-7459

411 Naomi St
Plainwell, MI 49080
Phone (269) 685-0700

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

8450 N 32nd St
Richland, MI 49083
Phone (269) 226-2500

1241 W Broadway St
Three Rivers, MI 49093
Phone (269) 273-9539

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

30 Harrison St
Ste 102
Johnson City, NY 13790
Phone (607) 729-7082

32-36 Harrison St
Johnson City, NY 13790
Phone (607) 217-1021

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

1 Titus Pl
Walton, NY 13856
Phone (607) 337-4700

2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197

2 Titus Pl
#13202
Walton, NY 13856
Phone (607) 865-2197

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1801087374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LEWIS RD",
            "address_2": "FL 2",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13905",
            "telephone_number": "607-770-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32-36 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902122",
            "telephone_number": "607-729-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMINNA",
        "first_name": "BRANDON",
        "middle_name": "SABAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301084176",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "327049",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301084176",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "327049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.