Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Robert Tiso, MD

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1326330440

Dr. Michael Robert Tiso, MD is an Internal Medicine in Williamsville, New York. Graduated from State University of New York at Buffalo School of Medicine in 2011, 15 years ago. Practices with Osu Internal Medicine LLC, a 1,145-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York and Ohio.

Years since qualifying
15
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY, OH
In the registry since
2011
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 N Maplemere Rd Ste 100
Williamsville, NY 14221-3182
Phone: (716) 204-3200
Fax: (716) 204-4337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 410 W 10th Ave, Columbus, OH 43210-1240 — (614) 293-8305
  • 550 Chapel Dr, Granville, OH 43023-6504 — (740) 587-6200
  • 6515 Pullman Dr, Lewis Center, OH 43035-7380 — (614) 293-3600

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence 277182 (NY)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 35.122274 (OH)
Sports Medicine (Emergency Medicine) Physician Taxonomy 207PS0010X · Licence 35.122274 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35.122274 (OH)

Record details

NPI number1326330440
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2011
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Osu Internal Medicine Llc — 1145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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