Individual provider Active NPI

Bill Keith Tolar, MD

  • Pediatrics Physician
  • Nashville, TN
National Provider Identifier
1639168016
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24258 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-8900
Phone
(615) 322-5000
NPI assigned
Oct 18, 2005
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 24258 TN
Pediatrics Physician 208000000X 01079163A IN
Pediatrics Physician 208000000X 24258 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-8900

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 322-5000

Other practice location 1

4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 426-9771

Other practice location 2

2121 N Locust Ave
Suite 1
Lawrenceburg, TN 38464-4454
Phone (931) 762-5988

Other identifiers 1

IdentifierTypeStateIssuer
38213205MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address btolar721015@direct.vumc.org 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051222000512 TN Practitioner - Pediatric Medicine 2264405877 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01079163AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Crockett, LLC Multi-Specialty CurrentSince Mar 28, 2022 Accepting new patients
Amg-Hillside LLC CurrentSince Jan 16, 2025 Accepting new patients
Amg-Hillside LLC Multi-Specialty Current Accepting new patients
Amg-Hillside LLC CurrentSince Jan 16, 2025 Accepting new patients
Amg-Crockett, LLC CurrentSince Mar 28, 2022 Accepting new patients
Crockett Hospital LLC Past Accepting new patients
The Children's Clinic PC Specialist Past Accepting new patients
First Choice Health, LLC Multi-Specialty Past Accepting new patients
Amg Hillside LLC Multi-Specialty Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1908 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7600

2121 N Locust Ave
Ste 1
Lawrenceburg, TN 38464
Phone (931) 762-1800

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

202 Hillside Dr
Pulaski, TN 38478
Phone (931) 207-8397

204 Hillside Dr
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • Direct secure messaging: bill.tolar.1@19363.direct.athenahealth.com
  • Direct secure messaging: btolar721015@direct.vumc.org
  • Direct secure messaging: tolar_keith_-_md@yourcarecommunity.org

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1639168016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-322-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372328900",
            "telephone_number": "615-322-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4209 Gateway Blvd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308900",
            "country_code": "US",
            "telephone_number": "812-426-9771",
            "fax_number": "812-842-2901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 N Locust Ave",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384644454",
            "country_code": "US",
            "telephone_number": "931-762-5988",
            "fax_number": "931-762-3389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLAR",
        "first_name": "BILL",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "24258",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01079163A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "24258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38213205",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "btolar721015@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372328900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.