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

Dr. Tom Jose, MD

Individual provider Internal Medicine Physician · NPI 1174958698

Dr. Tom Jose, MD is an Internal Medicine in Youngstown, Ohio. Qualified in 2007, 19 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
19
Licensed in
NC
In the registry since
2013
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

500 Gypsy Ln
Youngstown, OH 44504-1315
Phone: (330) 881-8253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Airport Rd Fl 4, Kinston, NC 28501-1604 — (252) 522-7197

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2016-01727 (NC)

Record details

NPI number1174958698
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 4, 2013
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024
Mailing address5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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