DR. TOM JOSE M.D
NPI 1174958698
Internal Medicine in Youngstown, OH
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 Lenoir Health Care, and maintains a secondary practice location in Kinston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Tom Jose reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greensboro, NC 27401
- Reassigned Medicare billing, North Carolina enrollment
- 254 clinicians in this Medicare group
Burlington, NC 27215
- Reassigned Medicare billing, North Carolina enrollment
- 1,337 clinicians in this Medicare group
Rocky Mount, NC 27804
- Reassigned Medicare billing, North Carolina enrollment
- 393 clinicians in this Medicare group
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 1,653 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unc Lenoir Health Care
Acute Care Hospitals · Kinston, NCEcu Health Medical Center
Acute Care Hospitals · Greenville, NCEcu Health Bertie Hospital
Critical Access Hospitals · Windsor, NCVidant Chowan Hospital
Critical Access Hospitals · Edenton, NCPhysician 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.
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.
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.
YOUNGSTOWN, OH 44504
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.
Which organizations bill Medicare for Tom Jose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tom Jose reassigns Medicare benefits to 4 organizations: Hospitalist Medicine Physicians Of North Carolina PLLC (Greensboro, NC), Unc Physicians Network, LLC (Burlington, NC), Cogent Healthcare Of North Carolina, PC (Rocky Mount, NC) and Vidant Medical Group LLC (Greenville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tom Jose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Dr. Tom Jose, M.D · NPI 1174958698
Internal Medicine physician in Youngstown, Ohio. Individual provider, active in the CMS NPPES registry since September 4, 2013.
## Identity
- **NPI:** 1174958698 (Entity type: Individual)
- **Enumerated:** September 4, 2013
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 2016-01727 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 500 GYPSY LN, Youngstown, OH 44504-1315
- **Phone:** (330) 881-8253
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Hospitalist Medicine Physicians Of North Carolina PLLC (NPI 1164724902, Greensboro, NC); Unc Physicians Network, LLC (NPI 1053751586, Burlington, NC); Cogent Healthcare Of North Carolina, PC (NPI 1548207483, Rocky Mount, NC); Vidant Medical Group LLC (NPI 1477648731, Greenville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** March 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174958698) · Data from the CMS NPPES public registry.