Active NPI
Todd Henry Wilkens, M.D.
- Vascular Surgery Physician
- Smyrna, TN
On this page
- Key facts
- Organizations & group practices11
- Hospital & facility affiliations2
- Owned or controlled facilities with NPI records2
- Care Compare profile
- Medicare participation
- All facility ownership & control disclosures2
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other identifiers2
- NPI Registry JSON
- Other providers in Smyrna, TN
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD0000026875
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Nashville, TN
- NPI 1194862573
-
- Prosthetic/Orthotic Supplier
- Nashville, TN
- NPI 1306894399
-
- Community/Retail Pharmacy
- Nashville, TN
- NPI 1669519849
-
- Durable Medical Equipment & Medical Supplies
- Mt Juliet, TN
- NPI 1730130436
-
- Community/Retail Pharmacy
- Johnson City, TN
- NPI 1922814730
-
- Radiation Oncology Physician
- Nashville, TN
- NPI 1164595070
-
- Multi-Specialty Clinic/Center
- Willaimsburg, KY
- NPI 1407154800
-
- Rural Health Clinic/Center
- Williamsburg, KY
- NPI 1376689620
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hermitage, TN
- NPI 1982650024
Hospital
-
- General Acute Care Hospital
- Smyrna, TN
- NPI 1992776405
Hospital
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Jellico, TN
- NPI 1992841233
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Williamsburg, KY
- NPI 1376689620
5% Or Greater Direct Ownership Interest
Care Compare profile
Medicare Care Compare- Specialty
- Vascular 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
Practice addresses (Care Compare)
2004 Hayes St
Suite 350
Nashville, TN 37203-2650
Phone (615) 312-3333
Hospital & facility affiliations
- Tristar Stonecrest Medical Center
- Tristar Summit Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.69 of 100
- Quality
- 70.45
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 23 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 21 |
| Removal of tissue | 1-10 |
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
All facility ownership & control disclosures 2
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Williamsburg Family Medicine Center | Rural health clinic | 5% Or Greater Direct Ownership Interest (33%) | Dec 21, 2021 |
| Charles H. Wilkens, M.D.,P.C. | Rural health clinic | 5% Or Greater Direct Ownership Interest (33%) | Dec 27, 2021 |
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100929000446 | TN | Practitioner - Vascular Surgery | 3678567393 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Oncology PLLC | Surgery | Current | Accepting new patients |
| The Surgical Clinic PLLC | Surgery | Current | Accepting new patients |
| Williamsburg Family Medicine Center | Past | 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
- todd.wilkens@tsclinic.eclinicaldirectplus.com
- twilkens@wmg01.gwaydirect.com
- https://fhir4.healow.com/fhir/r4/IIJFBA
- https://api.platform.athenahealth.com/24026/brand/1/csg/1/fhir/r4
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD0000026875 | TN | |
| Vascular Surgery Physician | 2086S0129X | MD0000026875 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64064397 | Medicaid | KY | |
| 3885402 | Medicaid | TN |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.