Individual provider Active NPI

Robert L Tiso, MD

  • Pain Medicine Physician
  • North Syracuse, NY
National Provider Identifier
1942295092
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
171318 Issued in NY
Practice address
5496 East Taft Road
North Syracuse, NY 13212
Phone
(315) 552-6700
Fax
(315) 552-6701
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 171318 NY Primary

Addresses

Primary practice location

5496 East Taft Road
North Syracuse, NY 13212

Mailing address

PO Box 510
Syracuse, NY 13214-0510
Phone (315) 703-3484

Other identifiers 1

IdentifierTypeStateIssuer
01196510MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060417000065 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 6507858529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
State University of Ny Upstate Medical University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Anesthesiology Medical Specialties PCGroup PAC ID 3375535396, 29 clinicians

Practice addresses (Care Compare)

5496 E Taft Rd
Suite B
North Syracuse, NY 13212-3781
Phone (315) 362-2060

Hospital & facility affiliations

  • Auburn Community Hospital Hospital, Auburn, NY, CCN 330235
  • Oswego Hospital Hospital, Oswego, NY, CCN 330218
  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
95.25
Improvement activities
40
Cost
76.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
171318NYMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Anesthesiology Medical Specialties, PC Pain Medicine CurrentSince Jan 1, 2001 Accepting new patients
New York Anesthesiology Medical Specialties PC CurrentSince Jan 1, 2001 Accepting new patients
New York Pain Medicine Associates PC Pain Medicine Past Accepting new patients
American Anesthesiology of Syracuse, PC Past Accepting new patients

Locations

6711 Towpath Rd
Ste 265
East Syracuse, NY 13057
Phone (315) 703-3480

5496 E Taft Rd
Ste B
Syracuse, NY 13212
Phone (315) 362-2060

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

5496 E Taft Rd
Syracuse, NY 13212
Phone (315) 552-6700

Interoperability endpoints

  • Direct secure messaging: roberttiso@nysw.allscriptsdirect.net

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 and National Provider Directory roles.

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1942295092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132140510",
            "telephone_number": "315-703-3484",
            "fax_number": "315-703-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5496 EAST TAFT ROAD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "13212",
            "telephone_number": "315-552-6700",
            "fax_number": "315-552-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISO",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "171318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01196510",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

Verify at the official NPI Registry.