Individual provider Active NPI

Tiffany R Tonismae

  • Maternal & Fetal Medicine Physician
  • Louisville, KY
National Provider Identifier
1245505478
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
57470 Issued in KY
Practice address
401 E Chestnut St
Louisville, KY 40202-5700
Phone
(502) 588-4400
NPI assigned
Mar 21, 2012
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 57470 KY Primary
Maternal & Fetal Medicine Physician 207VM0101X ME140511 FL
Maternal & Fetal Medicine Physician 207VM0101X MD70070337 WA

Addresses

Primary practice location

401 E Chestnut St
Louisville, KY 40202-5700

Mailing address

625 6TH Ave S Ste 340
St Petersburg, FL 33701-4619
Phone (727) 767-7903

Other practice location 1

625 6th Ave S Ste 340
St Petersburg, FL 33701-4619
Phone (727) 767-7903

Other practice location 2

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (727) 767-7903

Other practice location 3

400 S 43rd St
Renton, WA 98055-5714
Phone (425) 690-2715

Other practice location 4

2318 Manatee Ave W
Bradenton, FL 34205-5432
Phone (941) 714-7150

Other identifiers 1

IdentifierTypeStateIssuer
102693500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, SC, WA, MS4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20230404001070 KY Practitioner - Obstetrics/Gynecology 8022251818 Reassigns benefits to 1 organization
I20240718001087 SC Practitioner - Obstetrics/Gynecology 8022251818 Reassigns benefits to 3 organizations
I20251217003336 WA Practitioner - Obstetrics/Gynecology 8022251818 Reassigns benefits to 1 organization
I20260508003621 MS Practitioner - Obstetrics/Gynecology 8022251818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

101 William H Johnson St
Suite 270
Florence, SC 29506-2763
Phone (843) 777-7753

295 A Midland Pkwy
Suite 150
Summerville, SC 29485-5902
Phone (843) 851-3800

401 E Chestnut St
Louisville, KY 40202-5700
Phone (502) 813-6410

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140511FLMDMaternal & Fetal Medicine Physician
57470KYMDMaternal & Fetal Medicine Physician
MD70070337WAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Mar 21, 2023 Accepting new patients
University of Louisville Physicians, Inc. Obstetrics & Gynecology Current Accepting new patients
University of Louisville Physicians, Inc. Maternal & Fetal Medicine CurrentSince Mar 21, 2023 Accepting new patients
Valley Medical Group-Renton CurrentSince Dec 1, 2025 Accepting new patients
McLeod Physician Associates II Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Coastal Carolina Primary Care, LLC Obstetrics & Gynecology CurrentSince Oct 2, 2025 Accepting new patients
Obtelecare South Carolina PC Obstetrics & Gynecology CurrentSince Oct 2, 2025 Accepting new patients
McLeod Physician Associates II CurrentSince Jul 1, 2024 Accepting new patients
All Children's Perinatology Specialists Maternal & Fetal Medicine PastSince Aug 11, 2019 Accepting new patients
University of Louisville Physicians Inc. Past Accepting new patients
University of Louisville Research Foundation Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
University Medical Center, Inc Student in an Organized Health Care Education/Training Program Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

401 E Chestnut St
Louisville, KY 40202
Phone (502) 588-4400

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

506 E Cheves St
#202
Florence, SC 29506

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

295A Midland Pkwy
Ste 150
Summerville, SC 29485
Phone (843) 851-3800

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ttonismae189266@orlandohealth.medalliesdirect.net
  • Direct secure messaging: ttonismae35706@uoflhealth-dm.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1245505478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 340",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014619",
            "telephone_number": "727-767-7903",
            "fax_number": "727-767-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025700",
            "telephone_number": "502-588-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 6th Ave S Ste 340",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014619",
            "country_code": "US",
            "telephone_number": "727-767-7903",
            "fax_number": "727-767-7905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Oakfield Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115779",
            "country_code": "US",
            "telephone_number": "727-767-7903",
            "fax_number": "727-767-7905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S 43rd St",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555714",
            "country_code": "US",
            "telephone_number": "425-690-2715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2318 Manatee Ave W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342055432",
            "country_code": "US",
            "telephone_number": "941-714-7150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONISMAE",
        "first_name": "TIFFANY",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "KY",
            "license": "57470",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME140511",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WA",
            "license": "MD70070337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102693500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.