Active NPI
Robert L Tiso, MD
- Pain Medicine Physician
- North Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 171318
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01196510 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- State University of Ny Upstate Medical University, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Oswego Hospital
- Samaritan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.28 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 171318 | NY | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Anesthesiology Medical Specialties, PC | Pain Medicine | Current | Accepting new patients |
| New York Anesthesiology Medical Specialties PC | Current | 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
- 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.
-
- Interventional Pain Medicine Physician
- North Syracuse, NY
- NPI 1841285996
-
- Durable Medical Equipment & Medical Supplies
- Camillus, NY
- NPI 1023497203
Pain Medicine
-
- Anesthesiology Physician
- Syracuse, NY
- NPI 1790718591
-
- Pain Medicine Physician
- Liverpool, NY
- NPI 1184691453
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.