Individual provider Active NPI

Thomas C Tolli, MD PA

  • Specialist
  • St Petersburg, FL
National Provider Identifier
1447212014
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0069472 Issued in FL
Practice address
1001 37TH St N
Suite C
St Petersburg, FL 33713-6010
Phone
(727) 328-1001
Fax
(727) 327-0413
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 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 ME0069472 FL Primary

Addresses

Primary practice location

1001 37TH St N
Suite C
St Petersburg, FL 33713-6010

Mailing address

1001 37TH St N
Suite C
St Petersburg, FL 33713-6010
Phone (727) 328-1001

Other identifiers 1

IdentifierTypeStateIssuer
252227600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20061108000275 FL Practitioner - Orthopedic Surgery 2062499296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas C. Tolli MD PAGroup PAC ID 2567469372, 2 clinicians

Practice addresses (Care Compare)

1001 37TH St N
Suite C
St Petersburg, FL 33713-6010
Phone (727) 328-1001

Hospital & facility affiliations

  • HCA Florida Pasadena Hospital a Part of HCA Florid Hospital, Saint Petersburg, FL, CCN 100126
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0069472FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas C. Tolli MD PA Specialist CurrentSince Aug 1, 2006 Accepting new patients
Seets Surgical Assistant, LLC PastSince Apr 1, 2015 Accepting new patients

Locations

1001 37th St N
Ste C
St Petersburg, FL 33713
Phone (727) 321-9644

Interoperability endpoints

  • Direct secure messaging: thomas.tollimd@direct.meditouchehr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFEDAD

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.

Hospital & facility affiliations 4

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1447212014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 37TH ST N",
            "address_2": "SUITE C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136010",
            "telephone_number": "727-328-1001",
            "fax_number": "727-327-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 37TH ST N",
            "address_2": "SUITE C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136010",
            "telephone_number": "727-328-1001",
            "fax_number": "727-327-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLI",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0069472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252227600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.