ARPAN TOLIA DO
NPI 1407389810
Hospitalist in Middletown, NY

Q: What is Arpan Tolia's NPI number?

The NPI number for Arpan Tolia is 1407389810. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Q: What is Arpan Tolia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Arpan Tolia was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment

155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2025, Oct 21, 2020, Sep 18, 2020 (3 updates tracked since 2020).

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About Arpan Tolia Do NPPES

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

ARPAN TOLIA DO (NPI 1407389810) is an individual hospitalist provider in Middletown, New York, licensed in New York (296795) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2017).

NPPES Registry Identity

NPI1407389810

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameARPAN TOLIACredential: DO

Location Address155 CRYSTAL RUN RDMiddletown, NY 10941-4028

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297

Phone(845) 703-6999

Fax(845) 703-6297

Sole ProprietorNo

Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2017

Enumeration DateApril 4, 2017

Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2025

✔ NPI 1407389810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in NY · 296795✔ Licensed in ME · DO4121

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License DO4121 (ME), 296795 (NY)

155 CRYSTAL RUN RD, Middletown, NY 10941

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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

Arpan Tolia Do 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 ID8022438431

PECOS Enrollment IDI20201022003575

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

151 services49 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

24 services14 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330226

Location1555 Long Pond RoadRochester, NY 14626 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10941 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

$141.77 typical visit price

range $61.88 – $187.05

Typical copayment $35.44 (range $15.47 – $46.76)

Most-billed visit code 99204

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$912.21 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

2 suppliers12 claims12 services$90.98 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.

RAFEEL O SYED MD

Internal Medicine (Nephrology)