Individual provider Active NPI

Tetsoma Tonwe, MD

  • Family Medicine Physician
  • Milford, DE
National Provider Identifier
1629431267
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10013563 Issued in DE
Practice address
1011 N Walnut St
Milford, DE 19963-1201
Phone
(302) 734-2444
Fax
(302) 493-5254
NPI assigned
Mar 31, 2016
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1-0013563 DE
Family Medicine Physician 207Q00000X C10013563 DE Primary

Addresses

Primary practice location

1011 N Walnut St
Milford, DE 19963-1201

Mailing address

22309 Holly Oak LN
Lewes, DE 19958-5453
Phone (302) 423-0679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20200731001491 DE Practitioner - Family Practice 1052602968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1011 N Walnut St
Milford, DE 19963-1201
Phone (302) 734-2444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0013563DEMDFamily Medicine Physician
C10013563DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Divergent Direct Primary Care CurrentSince Jan 1, 2022 Accepting new patients

Locations

1011 N Walnut St
Milford, DE 19963
Phone (302) 422-8845

Interoperability endpoints

  • Direct secure messaging: tetsoma.tonwe@429216580304900.direct.elationemr.com

Organizations & group practices 1

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 3

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1629431267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22309 HOLLY OAK LN",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199585453",
            "telephone_number": "302-423-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N WALNUT ST",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631201",
            "telephone_number": "302-734-2444",
            "fax_number": "302-493-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONWE",
        "first_name": "TETSOMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0013563",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10013563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.