Individual provider Active NPI

Kenneth H Tozer II, M.D.

  • Specialist
  • Milan, TN
National Provider Identifier
1366489270
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD016387 Issued in TN
Practice address
4022 Liberty St
Milan, TN 38358-3453
Phone
(731) 686-7004
Fax
(731) 686-7078
NPI assigned
May 31, 2006
Last updated
May 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD016387 TN Primary

Addresses

Primary practice location

4022 Liberty St
Milan, TN 38358-3453

Mailing address

4022 Liberty St
Milan, TN 38358-3453
Phone (731) 686-7004

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061005000544 TN Practitioner - General SurgeryPractitioner - Vascular Surgery 4688678691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Loma Linda University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth H. Tozer II, MDGroup PAC ID 7416951058, 2 clinicians

Practice addresses (Care Compare)

4022 Liberty St
Milan, TN 38358-3453
Phone (731) 686-7004

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as individual
Quality
77.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy187
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux174
Varicose vein removal34
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD016387TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth H. Tozer II, MD Specialist CurrentSince May 1, 1994 Accepting new patients
Milan General Hospital, Inc. Past Accepting new patients

Locations

4022 Liberty St
Milan, TN 38358
Phone (731) 686-7004

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1366489270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 LIBERTY ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583453",
            "telephone_number": "731-686-7004",
            "fax_number": "731-686-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 LIBERTY ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583453",
            "telephone_number": "731-686-7004",
            "fax_number": "731-686-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOZER",
        "first_name": "KENNETH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD016387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, TN

Sources for this page

Verify at the official NPI Registry.