Active NPI
Todd A. Nickloes, D.O.
- Trauma Surgery Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- DO0000001327
- Practice address
- 1932 Alcoa Hwy
Ste 270
Knoxville, TN 37920-1527 - Phone
- (865) 544-9433
- Fax
- (865) 544-8688
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | DO0000001327 | TN | Primary |
Addresses
Primary practice location
1932 Alcoa Hwy
Ste 270
Knoxville, TN 37920-1527
Mailing address
1932 Alcoa Hwy
Ste 270
Knoxville, TN 37920-1527
Phone (865) 251-4658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3306124 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | todd.nickloes@ugs.directbygreenway.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Ohio University, College of Osteopathic Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1932 Alcoa Hwy
Suite 270
Knoxville, TN 37920-1537
Phone (865) 251-4658
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- Quality
- 86.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO0000001327 | TN | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health System Inc | Current | Accepting new patients | |
| University Health System Inc | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| Knoxville Neurology Specialists, PLLC | Past | Accepting new patients | |
| University Health System, Inc. | Past | Accepting new patients |
Locations
2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960
1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570
1932 Alcoa Hwy
Ste 270
Knoxville, TN 37920
Phone (865) 251-4658
9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142
Organizations & group practices 5
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
- Knoxville, TN
- NPI 1790738763
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
- Surgery Physician
- Knoxville, TN
- NPI 1871115923
-
- Neurology Physician
- Knoxville, TN
- NPI 1720003338
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1447293675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1932 ALCOA HWY",
"address_2": "STE 270",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201527",
"telephone_number": "865-251-4658",
"fax_number": "865-251-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1932 ALCOA HWY",
"address_2": "STE 270",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201527",
"telephone_number": "865-544-9433",
"fax_number": "865-544-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKLOES",
"first_name": "TODD",
"middle_name": "A.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TN",
"license": "DO0000001327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3306124",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "todd.nickloes@ugs.directbygreenway.com",
"affiliation": "N",
"endpointDescription": "EMR Direct Message",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Referral Summary",
"address_1": "1932 Alcoa Hwy",
"address_2": "Ste 270",
"city": "Knoxville",
"state": "TN",
"country_code": "US",
"postal_code": "379201527",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.