NPIMap

Individual provider Active NPI

Tomasz B Woloszyn, MD

  • Internal Medicine Physician
  • Olean, NY
National Provider Identifier
1811284714
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
267534 Issued in NY
Practice address
2223 W State St
Ste 110
Olean, NY 14760
Phone
(716) 450-0944
NPI assigned
Jun 30, 2011
Last updated
Jun 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 267534 NY Primary

Addresses

Primary practice location

2223 W State St
Ste 110
Olean, NY 14760

Mailing address

2223 W State St
Ste 110
Olean, NY 14760-1938
Phone (716) 450-0944

Other identifiers 2

IdentifierTypeStateIssuer
J400168959OtherNYMEDICARE PTAN
03374256MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110809000181 NY Practitioner - Internal Medicine 1759550759 Receives reassigned benefits from 2 practitioners
Practice locations: Jamestown, NY; Olean, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2223 W State St
Suite 110
Olean, NY 14760-1938
Phone (716) 379-8139

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.75 of 100Reported as individual
Quality
94.7
Improvement activities
40
Cost
74.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003882NYMDBehavioral Analyst
267534NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tomasz Bronislaw Woloszyn, MD Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2223 W State St
Olean, NY 14760
Phone (716) 372-3474

2223 W State St
Ste 110
Olean, NY 14760
Phone (716) 379-8139

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJDEBD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 2

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 11

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1811284714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 W STATE ST",
            "address_2": "STE 110",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601938",
            "telephone_number": "716-450-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 W STATE ST",
            "address_2": "STE 110",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "14760",
            "telephone_number": "716-450-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOSZYN",
        "first_name": "TOMASZ",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "267534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "J400168959",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03374256",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.