Active NPI
Rheanel A Tolar, M.D.
- Internal Medicine Physician
- Paducah, KY
National Provider Identifier
1427117225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 38713
- Practice address
- 150 Brett Chase
Suite B
Paducah, KY 42003-5706 - Phone
- (270) 554-4820
- Fax
- (270) 448-0300
- NPI assigned
- Dec 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 38713 | KY | Primary |
Addresses
Primary practice location
150 Brett Chase
Suite B
Paducah, KY 42003-5706
Mailing address
150 Brett Chase
Suite B
Paducah, KY 42003-5706
Phone (270) 554-4820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64089006 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38713 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Enterprises, Inc. | Past | Accepting new patients | |
| Community Medical Associates, Inc. | Internal Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1104863562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1427117225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 BRETT CHASE",
"address_2": "SUITE B",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420035706",
"telephone_number": "270-554-4820",
"fax_number": "270-448-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BRETT CHASE",
"address_2": "SUITE B",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420035706",
"telephone_number": "270-554-4820",
"fax_number": "270-448-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLAR",
"first_name": "RHEANEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "38713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64089006",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.