Individual provider Active NPI

Todd Henry Wilkens, M.D.

  • Vascular Surgery Physician
  • Smyrna, TN
National Provider Identifier
1356434856
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD0000026875 Issued in TN
Practice address
515 Stonecrest Pkwy Ste 230
Smyrna, TN 37167-6829
Phone
(615) 223-9935
Fax
(615) 891-5046
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Loma Linda University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLC 355 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 350
Nashville, TN 37203-2650
Phone (615) 312-3333

Hospital & facility affiliations

  • Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227
  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
70.45
Promoting interoperability
100
Improvement activities
40
Cost
73.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion23
Varicose vein removal1-10
Leg revascularization (restoring blood flow)21
Removal of tissue1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

All facility ownership & control disclosures 2

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Williamsburg Family Medicine CenterWilliamsburg, KY, CCN 183832 Rural health clinic 5% Or Greater Direct Ownership Interest (33%) Dec 21, 2021
Charles H. Wilkens, M.D.,P.C.Jellico, TN, CCN 443925 Rural health clinic 5% Or Greater Direct Ownership Interest (33%) Dec 27, 2021

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20100929000446 TN Practitioner - Vascular SurgeryPractitioner - General Surgery 3678567393 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC Surgery CurrentSince Dec 1, 2024 Accepting new patients
The Surgical Clinic PLLC Surgery CurrentSince Jan 1, 2018 Accepting new patients
Williamsburg Family Medicine Center PastSince Dec 27, 2021 Accepting new patients
Jellico Community Hospital, Inc Past Accepting new patients
Jeffrey a Larsen MD PLLC Surgery Past Accepting new patients

Locations

660 S Mount Juliet Rd
Ste 211
Mt Juliet, TN 37122
Phone (615) 690-3309

410 42nd Ave N
Ste 400
Nashville, TN 37209
Phone (615) 292-5722

4535 Harding Pike
Ste 304
Nashville, TN 37205
Phone (615) 269-9007

356 24th Ave N
Ste 300
Nashville, TN 37203
Phone (615) 301-5264

53 Century Blvd
Ste 120
Nashville, TN 37214

2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333

410 42nd Ave N
Ste 300
Nashville, TN 37209
Phone (615) 321-6161

300 Stonecrest Blvd
Ste 360
Smyrna, TN 37167
Phone (615) 223-9935

521 Stonecrest Pkwy
Ste 200
Smyrna, TN 37167
Phone (615) 223-9935

515 Stonecrest Pkwy
Ste 230
Smyrna, TN 37167
Phone (615) 223-9935

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Interoperability endpoints

  • Direct secure messaging: todd.wilkens@tsclinic.eclinicaldirectplus.com
  • Direct secure messaging: twilkens@wmg01.gwaydirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA
  • FHIR API: https://api.platform.athenahealth.com/24026/brand/1/csg/1/fhir/r4

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD0000026875 TN
Vascular Surgery Physician 2086S0129X MD0000026875 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

515 Stonecrest Pkwy Ste 230
Smyrna, TN 37167-6829

Mailing address

410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone (615) 292-5722

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
64064397MedicaidKY
3885402MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 15, 2023.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1356434856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-292-5722",
            "fax_number": "615-346-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 STONECREST PKWY STE 230",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676829",
            "telephone_number": "615-223-9935",
            "fax_number": "615-891-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKENS",
        "first_name": "TODD",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD0000026875",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "MD0000026875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64064397",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3885402",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.