Active NPI
Keith Allen Tonkin, M.D.
- Diagnostic Radiology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A103522
- Practice address
- 6019 Walnut Grove Rd
Memphis, TN 38120-2113 - Phone
- (901) 747-1000
- Fax
- (901) 747-1001
- NPI assigned
- May 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A103522 | CA | Primary |
Addresses
Primary practice location
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Mailing address
6305 Humphreys Blvd
Suite 205
Memphis, TN 38120-2377
Phone (901) 747-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A1035220 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Tennessee, HSC, College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Windover Rd
Jonesboro, AR 72401-6159
Phone (870) 935-5432
1500 McLain St
Newport, AR 72112-3638
Phone (870) 523-9337
1500 W Poplar
Collierville, TN 38017-0601
Phone (901) 850-2128
2205 W Parker Rd
Jonesboro, AR 72404-7778
Phone (870) 933-9250
3001 Apache Dr
Suite a
Jonesboro, AR 72401-7432
Phone (870) 936-8000
3001 Apache Dr
Suite B
Jonesboro, AR 72401-7447
Phone (870) 936-8000
3003 Apache Dr
Jonesboro, AR 72401-7432
Phone (870) 931-8800
3054 W State Hwy 18
Manila, AR 72442-8201
Phone (870) 936-4500
3493 Veterans Dr N
Suite C
Huntingdon, TN 38344-6230
Phone (731) 986-2933
4700 W Kingshighway
Paragould, AR 72450-3465
Phone (870) 240-8402
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
4808 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
4901 E Johnson Ave
Jonesboro, AR 72405-8417
Phone (870) 932-8222
51 Choctaw Trce
Cherokee Village, AR 72529-2702
Phone (870) 856-2862
516 Industrial Park Dr
Trumann, AR 72472-9602
Phone (870) 935-8388
527 N 6TH St
Blytheville, AR 72315-2407
Phone (870) 936-8000
555 Perkins Ext
Suite 100
Memphis, TN 38117-4413
Phone (800) 475-3698
589 Hwy 45E S
Medina, TN 38355-1505
Phone (731) 462-0000
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 227-9000
6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700
7600 Wolf River Blvd
Germantown, TN 38138-1785
Phone (901) 312-4033
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (901) 383-9478
801 S Meridian St
Greenfield, TN 38230-2104
Phone (731) 235-0555
8040 Wolf River Blvd
Suite 200
Germantown, TN 38138-1775
Phone (901) 747-1000
Hospital & facility affiliations
- Baptist Memorial Hospital
- Baptist Memorial Hospital Desoto
- Baptist Memorial Hospital Jonesboro, Inc.
- Baptist Memorial Hospital Tipton
- Baptist Memorial Hospital Union City
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.65 of 100
- Quality
- 44.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.98
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| West Tennessee Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| UCLA Radiology Medical Group | Diagnostic Radiology | Past | Accepting new patients |
Locations
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
7600 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 747-1000
7600 Wolf River Blvd
Memphis, TN 38138
Phone (615) 550-6049
7600 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 312-4033
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Germantown, TN
- NPI 1912395708
-
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1861721839
-
- Diagnostic Radiology Physician
- Germantown, TN
- NPI 1043260763
AR, MS
-
- Mobile Mammography Clinic/Center
- Jonesboro, AR
- NPI 1417721689
-
- Clinical Medical Laboratory
- Jonesboro, AR
- NPI 1801127030
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1881670248
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Union City, TN
- NPI 1114981768
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1114184298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6305 HUMPHREYS BLVD",
"address_2": "SUITE 205",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202377",
"telephone_number": "901-747-1000",
"fax_number": "901-747-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6019 WALNUT GROVE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202113",
"telephone_number": "901-747-1000",
"fax_number": "901-747-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONKIN",
"first_name": "KEITH",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-17",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A103522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0A1035220",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.