Vishal Tolia, DO - Medicare Pulmonary Disease in Northport, NY

Vishal Tolia, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Northport, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2014 and has 11 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Urban Health Plan Inc and his current practice location is 79 Middleville Rd, Northport, New York. You can reach out to his office (for appointments etc.) via phone at (631) 261-4400.

Vishal Tolia is licensed to practice in New York (license number 289370) 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 1316366297.

Contact Information

Vishal Tolia, DO
79 Middleville Rd,
Northport, NY 11768-2200
(631) 261-4400
Not Available

Map and Direction




Physician's Profile

Full NameVishal Tolia
GenderMale
SpecialityPulmonary Disease
Experience11 Years
Location79 Middleville Rd, Northport, 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:
  • Vishal Tolia attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2014
  NPI Data:
  • NPI Number: 1316366297
  • Provider Enumeration Date: 04/08/2014
  • Last Update Date: 04/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4880936921
  • Enrollment ID: I20250512000563

Medical Identifiers

Medical identifiers for Vishal Tolia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316366297NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 289370 (New York)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 289370 (New York)Secondary
207RP1001XInternal Medicine - Pulmonary Disease DO2024-0155 (New Mexico)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease 289370 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Urban Health Plan Inc3173517281117

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. Vishal Tolia allows following entities to bill medicare on his behalf.
Entity NameSierra Vista Hospital 69
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760446009
PECOS PAC ID: 0143122416
Enrollment ID: O20040126000840

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. Vishal 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
Vishal Tolia, DO
79 Middleville Rd,
Northport, NY 11768-2200

Ph: (631) 261-4400
Vishal Tolia, DO
79 Middleville Rd,
Northport, NY 11768-2200

Ph: (631) 261-4400

Reviews and Comments


Internal Medicine Doctors in Northport, NY

Dr. Basem Sadek Elfaham, M.D.
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Troy Everett Dixon, M.D.
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Dr. Audun Joachim Lier, M.D., M.P.H.
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Practice Location: 79 Middleville Rd Rm 111, Northport, NY 11768
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Andres Lopez,
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Practice Location: 79 Middleville Rd, Northport, NY 11768
Phone: 631-261-4400    
Athena Zias Dilena, MD
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Medicare: Medicare Enrolled
Practice Location: 79 Middleville Rd, Northport, NY 11768
Phone: 631-261-4400    

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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.

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