Individual provider Active NPI

Lewis John Tondo, MD

  • Internal Medicine Physician
  • Troutman, NC
National Provider Identifier
1114922622
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2009-01075 Issued in NC
Practice address
510 N Main St
Troutman, NC 28166-9529
Phone
(704) 528-3721
Fax
(704) 528-5273
NPI assigned
Jun 21, 2005
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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 2009-01075 NC Primary

Addresses

Primary practice location

510 N Main St
Troutman, NC 28166-9529

Mailing address

510 N Main St
Troutman, NC 28166-9529
Phone (704) 528-3721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100803000552 NC Practitioner - Internal Medicine 5698807774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iredell Physician Network LLCGroup PAC ID 0749345007, 91 clinicians

Practice addresses (Care Compare)

510 N Main St
Troutman, NC 28166-9529
Phone (704) 528-3721

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iredell Physician Network LLC Internal Medicine Current Accepting new patients
Iredell Physician Network LLC CurrentSince Jan 17, 2011 Accepting new patients
Iredell Physician Network, LLC CurrentSince Jan 17, 2011 Accepting new patients
Iredell Physician Network LLC Current Accepting new patients
Iredell Physician Network LLC Past Accepting new patients

Locations

293 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 872-8711

766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182

510 N Main St
Troutman, NC 28166
Phone (704) 528-3721

Interoperability endpoints

  • Direct secure messaging: lewis.tondo@iredell.cernerdirect.com
  • Direct secure messaging: lewistondo@imhi.allscriptsdirect.net

Organizations & group practices 5

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

Hospital & facility affiliations 4

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1114922622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N MAIN ST",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281669529",
            "telephone_number": "704-528-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N MAIN ST",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281669529",
            "telephone_number": "704-528-3721",
            "fax_number": "704-528-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONDO",
        "first_name": "LEWIS",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2009-01075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troutman, NC

Sources for this page

Verify at the official NPI Registry.