Individual provider Active NPI

Jose M Tongol, MD

  • Hematology & Oncology Physician
  • Albany, GA
National Provider Identifier
1821034505
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
038386 Issued in GA
Practice address
427 W 3Rd Ave
Albany, GA 31701-1975
Phone
(229) 312-0344
NPI assigned
Jun 21, 2006
Last updated
Mar 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 038386 GA Primary

Addresses

Primary practice location

427 W 3Rd Ave
Albany, GA 31701-1975

Mailing address

427 W 3Rd Ave
Albany, GA 31701-1975
Phone (229) 312-0344

Other identifiers 1

IdentifierTypeStateIssuer
000619968AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000062 GA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6608060884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 Hwy 280 W
Americus, GA 31719-8645
Phone (229) 312-7141

126 Hwy 280 W
Americus, GA 31719-8645
Phone (229) 924-6100

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-1000

425 W 3Rd Ave
Suite 50
Albany, GA 31701-1955
Phone (229) 883-0717

427 W 3Rd Ave
Albany, GA 31701-1975
Phone (229) 312-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Putney Memorial Hospital Inc CurrentSince Jul 5, 1994 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Jul 5, 1994 Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

427 W 3rd Ave
Albany, GA 31701
Phone (229) 312-0344

427 W 3rd Ave
Ste 100
Albany, GA 31701
Phone (229) 312-0042

500 W 3rd Ave
Ste 100
Albany, GA 31701
Phone (229) 312-7000

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.

Hospital & facility affiliations 3

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1821034505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011975",
            "telephone_number": "229-312-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011975",
            "telephone_number": "229-312-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONGOL",
        "first_name": "JOSE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "038386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000619968A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.