Arpan K Tolia, DO - Medicare Hospitalist in Middletown, NY

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Arpan K Tolia, DO is a medicare enrolled "Hospitalist" physician in Middletown, New York. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Rochester General Hospital, The Unity Hospital Of Rochester and his current practice location is 155 Crystal Run Rd, Middletown, New York. You can reach out to his office (for appointments etc.) via phone at (845) 703-6999.

Arpan K Tolia is licensed to practice in New York (license number 296795) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407389810.

Contact Information

Arpan K Tolia, DO
155 Crystal Run Rd,
Middletown, NY 10941-4028
(845) 703-6999
(845) 703-6297

Map and Direction




Physician's Profile

Full NameArpan K Tolia
GenderMale
SpecialityHospitalist
Experience12 Years
Location155 Crystal Run Rd, Middletown, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Arpan K Tolia graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1407389810
  • Provider Enumeration Date: 04/04/2017
  • Last Update Date: 10/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022438431
  • Enrollment ID: I20201022003575

Medical Identifiers

Medical identifiers for Arpan K Tolia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407389810NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 296795 (New York)Primary
207Q00000XFamily Medicine 296795 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rochester General HospitalRochester, NYHospital
Unity HospitalRochester, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rochester General Hospital0244149474891
The Unity Hospital Of Rochester9436060969517

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Arpan K Tolia allows following entities to bill medicare on his behalf.
Entity NameRochester General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644
Entity NameThe Unity Hospital Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760421713
PECOS PAC ID: 9436060969
Enrollment ID: O20031230000038
Entity NameVault Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295348019
PECOS PAC ID: 6406266766
Enrollment ID: O20201028000889

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Arpan K Tolia is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Arpan K Tolia, DO
155 Crystal Run Rd,
Middletown, NY 10941-4028

Ph: (845) 703-6999		Arpan K Tolia, DO
155 Crystal Run Rd,
Middletown, NY 10941-4028

Ph: (845) 703-6999

Reviews and Comments


Hospitalist Doctors in Middletown, NY

Niranjan K Patel, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 155 Crystal Run Rd, Middletown, NY 10941
Phone: 845-703-6999    Fax: 845-703-6297
Ibtesam Khan, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 707 E Main St, Middletown, NY 10940
Phone: 845-333-1000    
Dr. Sumeet Smotra, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 155 Crystal Run Rd, Middletown, NY 10941
Phone: 845-703-6999    Fax: 845-703-6297
Miss Amika R Reynolds, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 111 Maltese Dr, Middletown, NY 10940
Phone: 845-342-4774    
Khin May Myat, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 155 Crystal Run Rd, Middletown, NY 10941
Phone: 845-703-6999    Fax: 845-703-6999
Ayfer Ekiz, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 707 E Main St, Middletown, NY 10940
Phone: 845-333-3370    Fax: 845-333-3372

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.