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DR. TOM JOSE M.D
NPI 1174958698
Internal Medicine in Youngstown, OH

Active since September 04, 2013PECOS EnrolledAccepts Medicare Assignment
500 GYPSY LN, YOUNGSTOWN, OH 44504(330) 881-8253 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tom Jose M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TOM JOSE M.D (NPI 1174958698) is an individual internal medicine provider in Youngstown, Ohio, licensed in North Carolina (2016-01727) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Unc Health Wayne, and maintains a secondary practice location in Kinston.

NPPES Registry Identity

NPI1174958698
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TOM JOSECredential: M.D
Location Address500 GYPSY LNYoungstown, OH 44504-1315
Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490
Phone(330) 881-8253
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 4, 2013
Last NPPES UpdateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1174958698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2016-01727
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
500 GYPSY LN, Youngstown, OH 44504
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Secondary Practice Location 1

Location 1100 Airport Rd Fl 4Kinston, NC 28501-1604 · Phone (252) 522-7197 · Fax (252) 522-7288

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tom Jose M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476842311
PECOS Enrollment IDI20161026000028
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
214 services212 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
89 services88 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services44 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unc Health Wayne

Acute Care Hospitals · Goldsboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340010
Location2700 Wayne Memorial DrGoldsboro, NC 27534 · Wayne County
Emergency services Birthing friendly

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340027
Location100 Airport RdKinston, NC 28501 · Lenoir County
Emergency services Birthing friendly

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Ecu Health Bertie Hospital

Critical Access Hospitals · Windsor, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341304
Location1403 S King StWindsor, NC 27983 · Bertie County
Emergency services

Vidant Chowan Hospital

Critical Access Hospitals · Edenton, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number341318
Location211 Virginia RdEdenton, NC 27932 · Chowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$21.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$119.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FORUM HEALTH ENTERPRISES CO
Nurse Practitioner
500 GYPSY LN
YOUNGSTOWN, OH 44504
Mahoning County (330) 884-4570
YOUNGSTOWN OHIO PHYSICIAN SERVICES COMPANY LLC
Internal Medicine
500 GYPSY LN
YOUNGSTOWN, OH 44504
Mahoning County (330) 884-0120
MICHAEL G SAALOUKE MD
Pediatrics (Pediatric Cardiology)
500 GYPSY LN
YOUNGSTOWN, OH 44504
Mahoning County (330) 884-3991
DR. AMANPREET DHALIWAL M.D.
Student in an Organized Health Care Education/Training Program
500 GYPSY LN, FAMILY MEDICINE DEPARTMENT
YOUNGSTOWN, OH 44504
Mahoning County (330) 884-3235
VALLEY CARE
General Acute Care Hospital (Critical Access)
500 GYPSY LN
YOUNGSTOWN, OH 44504
Mahoning County (330) 884-3472
SAHIL RAO MD
Internal Medicine
500 GYPSY LN
YOUNGSTOWN, OH 44504
Mahoning County (773) 796-0061
MS. DONNA ELAINE WARD CRNA
Nurse Anesthetist, Certified Registered
500 GYPSY LN
YOUNGSTOWN, OH 44504
Mahoning County (330) 884-3679
MORRIS W. PULLIAM, M.D., LLC
Neurological Surgery
500 GYPSY LN
YOUNGSTOWN, OH 44504
Mahoning County (330) 773-3544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tom Jose's NPI number?

The NPI number for Tom Jose is 1174958698. It was assigned to this individual provider in the NPPES registry on September 4, 2013.

Where is Tom Jose located?

Tom Jose practices at 500 Gypsy Ln, Youngstown, OH 44504. The listed phone number is (330) 881-8253.

What is Tom Jose's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tom Jose enrolled in Medicare?

Yes. Tom Jose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tom Jose accept?

Health plans from Blue Cross and Blue Shield of NC list Tom Jose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tom Jose affiliated with any hospitals?

According to CMS data, Tom Jose is affiliated with Unc Health Wayne, Unc Lenoir Health Care, Ecu Health Medical Center, Ecu Health Bertie Hospital and Vidant Chowan Hospital.

When was this NPI record last updated?

The NPPES record for Tom Jose was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.