Active NPI
Tildon C Robinson IV, MD
- Orthopaedic Surgery Physician
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- M-8080
- Practice address
- 4424 E Flamingo Ave
Suite 110
Nampa, ID 83687 - Phone
- (208) 288-4700
- Fax
- (208) 288-4720
- NPI assigned
- Oct 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | M8080 | ID | |
| Orthopaedic Surgery Physician | 207X00000X | M-8080 | ID | Primary |
Addresses
Primary practice location
4424 E Flamingo Ave
Suite 110
Nampa, ID 83687
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 367-5170
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010029137 | Other | ID | BLUE SHIELD |
| 37994 | Other | ID | BLUE CROSS |
| 805793900 | Medicaid | ID | |
| 000010029138 | Other | ID | BLUE SHIELD |
| 20003897 | Other | MEDICARE RAILROAD | |
| 38620 | Other | ID | BLUE CROSS |
| S3119 | Other | ID | BLUE CROSS |
| 000010017443 | Other | ID | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100304000801 | ID | Practitioner - Orthopedic Surgery | 3779689930 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allied Orthopaedics LLC
Practice addresses (Care Compare)
3015 E Magic View Dr
Suite 120
Meridian, ID 83642-3750
Phone (208) 855-2410
Hospital & facility affiliations
- Treasure Valley Hospital
- Saint Alphonsus Medical Center - Nampa
- Saint Alphonsus Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8080 | ID | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Orthopaedics LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Allied Orthopaedics LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Saltzer Medical Group, PA | Orthopaedic Surgery | Current | Accepting new patients |
Locations
7979 W Rifleman St
Boise, ID 83704
Phone (208) 321-4000
7979 W Rifleman St
Ste 100
Boise, ID 83704
Phone (208) 375-6133
3015 E Magic View Dr
Ste 120
Meridian, ID 83642
520 S Eagle Rd
Ste 2116
Meridian, ID 83642
Phone (208) 884-2999
3015 E Magic View Dr
Ste 130
Meridian, ID 83642
Phone (208) 482-5567
217 W Georgia Ave
Ste 115
Nampa, ID 83686
Phone (208) 463-3234
215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234
Interoperability endpoints
- trobinson1564384@direct.trinity-health.org
- https://fhir4.healow.com/fhir/r4/ADHBAA
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Treasure Valley Hospital | Hospital | Limited Partnership Interest (2.28%) | Aug 6, 2008 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Special Hospital
- Boise, ID
- NPI 1720040132
Limited Partnership Interest
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1750563540
ID, Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Meridian, ID
- NPI 1336816909
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Meridian, ID
- NPI 1760840987
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
Hospital
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
Hospital
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1457340481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E GOLDSTONE WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421026",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 E FLAMINGO AVE",
"address_2": "SUITE 110",
"city": "NAMPA",
"state": "ID",
"postal_code": "83687",
"telephone_number": "208-288-4700",
"fax_number": "208-288-4720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "TILDON",
"middle_name": "C",
"name_suffix": "IV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": "M8080",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": "M-8080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010029137",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "37994",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805793900",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010029138",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "20003897",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "38620",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "S3119",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010017443",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.