Individual provider Active NPI

Anthony Tonos, MD

  • Internal Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1225087307
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2008-01582 Issued in NC
Practice address
755 Highland Oaks Dr
Suite 202
Winston Salem, NC 27103-7106
Phone
(336) 760-0070
Fax
(336) 760-0017
NPI assigned
May 8, 2006
Last updated
Jun 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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 2008-01582 NC Primary

Addresses

Primary practice location

755 Highland Oaks Dr
Suite 202
Winston Salem, NC 27103-7106

Mailing address

755 Highland Oaks Dr
Suite 202
Winston Salem, NC 27103-7106
Phone (336) 760-0070

Other identifiers 1

IdentifierTypeStateIssuer
5910609MedicaidNC

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
I20081201000698 NC Practitioner - Internal Medicine 7315979044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
International Clinic of the Carolinas PLLCGroup PAC ID 2365566924, 6 clinicians

Practice addresses (Care Compare)

2406 Blue Ridge Rd
Raleigh, NC 27607-6680
Phone (919) 782-4884

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-01582NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
International Clinic of the Carolinas PLLC Internal Medicine CurrentSince Aug 16, 2010 Accepting new patients
Hope Medical Care Past Accepting new patients
Sovran Senior Living, LLC Past Accepting new patients
MCPC-2, LLC Internal Medicine PastSince Jan 5, 2025 Accepting new patients

Locations

2406 Blue Ridge Rd
Ste 170
Raleigh, NC 27607
Phone (919) 782-4884

2406 Blue Ridge Rd
Ste 205
Raleigh, NC 27607
Phone (919) 782-4884

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1225087307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 HIGHLAND OAKS DR",
            "address_2": "SUITE 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037106",
            "telephone_number": "336-760-0070",
            "fax_number": "336-760-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 HIGHLAND OAKS DR",
            "address_2": "SUITE 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037106",
            "telephone_number": "336-760-0070",
            "fax_number": "336-760-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONOS",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2008-01582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910609",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.