Individual provider Active NPI

Kevin S Toppenberg, MD

  • Family Medicine Physician
  • Greeneville, TN
National Provider Identifier
1093726085
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30267 Issued in TN
Practice address
1410 Tusculum Blvd
Suite 2600
Greeneville, TN 37745-4286
Phone
(423) 787-7000
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30267 TN Primary

Addresses

Primary practice location

1410 Tusculum Blvd
Suite 2600
Greeneville, TN 37745-4286

Mailing address

1410 Tusculum Blvd
Suite 2600
Greeneville, TN 37745-4286
Phone (423) 787-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070906000691 TN Practitioner - Family Practice 4486686433 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Physicians of GreenevilleGroup PAC ID 3971603275, 2 clinicians

Practice addresses (Care Compare)

1410 Tusculum Blvd
Suite 2600
Greeneville, TN 37745-5819
Phone (423) 787-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee HM, PLLC CurrentSince Mar 1, 2017 Accepting new patients
Summit Medical Group, PLLC CurrentSince Aug 1, 2015 Accepting new patients
Family Physicians of Greeneville Family Medicine CurrentSince Feb 1, 2007 Accepting new patients
Summit Medical Group, PLLC CurrentSince Aug 1, 2015 Accepting new patients

Locations

1410 Tusculum Blvd
Ste 2600
Greeneville, TN 37745
Phone (423) 787-7000

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

Organizations & group practices 4

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 5

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1093726085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD",
            "address_2": "SUITE 2600",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454286",
            "telephone_number": "423-787-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD",
            "address_2": "SUITE 2600",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454286",
            "telephone_number": "423-787-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPPENBERG",
        "first_name": "KEVIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "30267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.