Individual provider Active NPI

Paul Vincent Tio Co, MD

  • Gastroenterology Physician
  • Montgomery, AL
National Provider Identifier
1992069348
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35961 Issued in AL
Practice address
1725 Pine St
Montgomery, AL 36106
Phone
(334) 293-8000
NPI assigned
Jun 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.061124 IL
Gastroenterology Physician 207RG0100X 35961 AL Primary

Addresses

Primary practice location

1725 Pine St
Montgomery, AL 36106

Mailing address

1725 Pine St
Montgomery, AL 36106-1117
Phone (334) 293-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180830001195 AL Practitioner - GastroenterologyPractitioner - Internal Medicine 7517268048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

1722 Pine St
Suite 204
Montgomery, AL 36106-1158
Phone (334) 293-6825

Hospital & facility affiliations

  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024

Merit-based Incentive Payment System (MIPS)

Final score
59.08 of 100Reported as individual
Quality
72.18
Promoting interoperability
0
Improvement activities
40
Cost
74.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy237
Upper gastrointestinal (GI) endoscopy for acid reflux166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.061124ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital & Clinic, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Jackson Hospital and Clinic, Inc. Internal Medicine Current Accepting new patients
Jackson Hospital and Clinic Inc. Gastroenterology CurrentSince Aug 1, 2018 Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients

Locations

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1722 Pine St
Ste 204
Montgomery, AL 36106
Phone (334) 262-4418

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

Interoperability endpoints

  • Direct secure messaging: paul.co.1@9186.direct.athenahealth.com

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 1

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": "1341014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1992069348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 PINE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061117",
            "telephone_number": "334-293-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 PINE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36106",
            "telephone_number": "334-293-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CO",
        "first_name": "PAUL VINCENT",
        "middle_name": "TIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-30",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.061124",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "35961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.