Individual provider Active NPI

Keith Allen Tonkin, M.D.

  • Diagnostic Radiology Physician
  • Memphis, TN
National Provider Identifier
1114184298
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A103522 Issued in CA
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

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0A1035220MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090625000354 TN Practitioner - Diagnostic Radiology 0143393710 Reassigns benefits to 2 organizations
I20090813000554 MS Practitioner - Diagnostic Radiology 0143393710 Reassigns benefits to 1 organization
I20170316000820 AR Practitioner - Diagnostic Radiology 0143393710 Reassigns benefits to 2 organizations

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
Mid-South Imaging and Therapeutics, P.a.Group PAC ID 9133106396, 69 clinicians
West Tennessee Imaging LLCGroup PAC ID 3173834215, 37 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75.65 of 100Reported as group
Quality
44.87
Promoting interoperability
100
Improvement activities
40
Cost
73.98

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jun 7, 2017 Accepting new patients
West Tennessee Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2015 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jun 7, 2017 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.

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": "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

Verify at the official NPI Registry.