Individual provider Active NPI

Kiley Toder, M.D.

  • Internal Medicine Physician
  • Johnston, RI
National Provider Identifier
1063640225
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LP01714 Issued in RI
Practice address
1524 Atwood Ave
Suite 333
Johnston, RI 02919-3228
Phone
(401) 421-6011
Fax
(401) 421-9088
NPI assigned
Jun 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP01714 RI Primary

Addresses

Primary practice location

1524 Atwood Ave
Suite 333
Johnston, RI 02919-3228

Mailing address

1524 Atwood Ave
Suite 333
Johnston, RI 02919-3228
Phone (401) 421-6011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150317002017 RI Practitioner - Rheumatology 7315264017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Albany Medical College of Union University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toder Rheumatology and Osteoporosis Center, P.C.Group PAC ID 8729304555, 2 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Suite 333
Johnston, RI 02919-3228
Phone (401) 421-6011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as individual
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LP01714RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toder Rheumatology & Osteoporosis Center, P.C. CurrentSince Feb 1, 2015 Accepting new patients

Locations

1524 Atwood Ave
Ste 333
Johnston, RI 02919
Phone (401) 421-6011

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1063640225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 333",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-421-6011",
            "fax_number": "401-421-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 333",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-421-6011",
            "fax_number": "401-421-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODER",
        "first_name": "KILEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP01714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.