Individual provider Active NPI

Toks E Macarthy, MD

  • Hospitalist Physician
  • West Allis, WI
National Provider Identifier
1164608964
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
C3603 Issued in KY
Practice address
1701 West Lincoln Avenue
West Allis, WI 53227
Phone
(414) 328-6000
NPI assigned
Jan 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 73125 GA
Internal Medicine Physician 207R00000X C3603 KY
Internal Medicine Physician 207R00000X MD.42216 AL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 51926 WI
Hospitalist Physician 208M00000X MD.42216 AL
Hospitalist Physician 208M00000X 306122 NY
Hospitalist Physician 208M00000X 036123996 IL
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X C3603 KY Primary

Addresses

Primary practice location

1701 West Lincoln Avenue
West Allis, WI 53227

Mailing address

1701 West Lincoln Avenue
West Allis, WI 53227
Phone (414) 328-6000

Other practice location 1

3579 Highway 138 SE Ste 103
Stockbridge, GA 30281-4127
Phone (770) 629-4374

Other practice location 2

1401 Harrodsburg Rd
Lexington, KY 40504-3751
Phone (859) 258-6784

Other identifiers 1

IdentifierTypeStateIssuer
7100257700MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN, NY, KY, OH, AL6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20130220000056 IL Practitioner - Internal Medicine 2264509041 Reassigns benefits to 2 organizations
I20130909000477 TN Practitioner - Internal Medicine 2264509041 Reassigns benefits to 3 organizations
I20230519000574 NY Practitioner - Internal Medicine 2264509041 Reassigns benefits to 4 organizations
I20250407002682 KY Practitioner - Internal MedicinePractitioner - Hospitalist 2264509041 Reassigns benefits to 2 organizations
I20250710000459 OH Practitioner - Internal Medicine 2264509041 Reassigns benefits to 1 organization
I20250829002903 AL Practitioner - Internal Medicine 2264509041 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gadsden HB Medical Services LLCGroup PAC ID 4183078561, 58 clinicians
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 494-4000

1401 Harrodsburg Rd
Suite A120
Lexington, KY 40504-3779
Phone (859) 258-6520

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330

Hospital & facility affiliations

  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
  • Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

Merit-based Incentive Payment System (MIPS)

Final score
97.33 of 100Reported as group
Improvement activities
40
Cost
77.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.42216ALMDInternal Medicine Physician
73125GAMDInternal Medicine Physician
C3603KYMDInternal Medicine Physician
51926WIMDCritical Care Medicine (Internal Medicine) Physician
036123996ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Jun 1, 2016 Accepting new patients
New York Medical Physician Associates PC Internal Medicine Current Accepting new patients
Inpatient Consultants of Illinois, P.C. Internal Medicine Current Accepting new patients
Owensboro Health Medical Group, Inc Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Apogee Medical Group Tennessee PC Internal Medicine CurrentSince Dec 21, 2015 Accepting new patients
MVHS Inc CurrentSince Apr 9, 2023 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Jun 30, 2024 Accepting new patients
Gadsden HB Medical Services LLC Hospitalist CurrentSince Mar 6, 2026 Accepting new patients
Owensboro Health Medical Group Inc Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Aug 23, 2013 Accepting new patients
Upstate Ny Doctor of Medicine PLLC Hospitalist CurrentSince Sep 1, 2024 Accepting new patients
Inpatient Consultants of Illinois, P.C. Internal Medicine CurrentSince Mar 10, 2020 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Sep 19, 2025 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince May 2, 2025 Accepting new patients
Flowers HB Medical Services LLC Hospitalist CurrentSince Aug 14, 2025 Accepting new patients
Wajeeh Sana Physician PC Internal Medicine CurrentSince Mar 6, 2024 Accepting new patients
Inpatient Consultants of Illinois, P.C. Internal Medicine CurrentSince Mar 10, 2020 Accepting new patients
MVHS Inc CurrentSince Apr 9, 2023 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Jun 30, 2024 Accepting new patients
University Health System, Inc Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
New Lexington Clinic, PSC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
New Lexington Clinic PSC CurrentSince Jul 1, 2025 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Prohealth Medical Group Inc Internal Medicine Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Southern Crescent Medical Center, LLC Internal Medicine PastSince Aug 28, 2019 Accepting new patients
New Lexington Clinic, PSC Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients

Locations (25 of 32)

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1005 Broadway St
Quincy, IL 62301

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

1401 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 258-6784

1401 Harrodsburg Rd
Ste A120
Lexington, KY 40504
Phone (859) 258-6520

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

Interoperability endpoints

  • Direct secure messaging: tmacarthy36623@mvhealthsystem.direct-ci.com
  • Direct secure messaging: tmacarthy491398@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: tmacarthy453190@direct.stlukeshealth.org

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 6

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": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1164608964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WEST LINCOLN AVENUE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "53227",
            "telephone_number": "414-328-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 WEST LINCOLN AVENUE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "53227",
            "telephone_number": "414-328-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3579 Highway 138 SE Ste 103",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302814127",
            "country_code": "US",
            "telephone_number": "770-629-4374",
            "fax_number": "678-545-1735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Harrodsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043751",
            "country_code": "US",
            "telephone_number": "859-258-6784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACARTHY",
        "first_name": "TOKS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "73125",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "C3603",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.42216",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "51926",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "MD.42216",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "306122",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036123996",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "C3603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100257700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.