Robert J Toltzis, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

42449 Issued in KY

Practice address

1400 Grand Ave
Newport, KY 41071-2570

Phone

(859) 905-3073

Fax

(859) 441-1460

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH, KY, WY, WA4 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

Specialty

Cardiovascular Disease (Cardiology)

Education

Hahnemann University College of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

19.04 of 100Reported as group

Quality

4.75

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4

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.

• Proscan Radiology, LLC

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1588654610
  Medicare reassignment Care Compare group NPD
• Hoskinson Health & Wellness Clinic LLC

  • Multi-Specialty Clinic/Center
  • Gillette, WY
  • NPI 1376280750
  Medicare reassignment NPD
• Public Hospital District 3 of Pacific County

  • Critical Access Hospital
  • Ilwaco, WA
  • NPI 1295771376
  Medicare reassignment NPD
• Summit Medical Group, Inc

  • Family Medicine Physician
  • Erlanger, KY
  • NPI 1750343216
  Medicare reassignment
• Bozeman Diagnostics LLC

  • Radiology Clinic/Center
  • Bozeman, MT
  • NPI 1659855443
  NPD
• Hoskinson Health & Wellness Clinic LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Gillette, WY
  • NPI 1003628611
  NPD
• Public Hospital District 3 of Pacific County

  • Rural Health Clinic/Center
  • Ocean Park, WA
  • NPI 1417482191
  NPD
• Public Hospital District 3 of Pacific County

  • Rural Health Clinic/Center
  • Ilwaco, WA
  • NPI 1871822676
  NPD
• Diagnostic Cardiologists Inc.

  • Cardiovascular Disease Physician
  • Cincinnati, OH
  • NPI 1033109566
  NPD (past)
• Ohio Heart and Vascular Center, Inc

  • Cardiovascular Disease Physician
  • Cincinnati, OH
  • NPI 1356392070
  NPD (past)
• Professional Readers Group, Inc

  • Specialist
  • Cincinnati, OH
  • NPI 1861445702
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1265480677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-905-3073",
            "fax_number": "859-441-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 GRAND AVE",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712570",
            "telephone_number": "859-905-3073",
            "fax_number": "859-441-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLTZIS",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01037357A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "42449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100387000",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64781883",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0507580",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00340834",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00948069",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keneta Lachelle Thomas, APRN, PMHNP
• Michelle Ann Thompson, PHARMD
• Krystal Frances Tillett, LCSW
• Erin Renee Tischner, DO
• Lindsey Tolle, APRN
• Judith Lynn Corrado Tucker, APRN
• James Ronald Uebel, MD
• Lauren Unkraut
• Grace Vanmelle, MFT
• Vantage Point Counseling & Wellness

• Cardiovascular Disease Physician in Newport, KY
• Providers in Newport, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.