Active NPI
Tzonko V Milev, MD
- Nephrology Physician
- Tupelo, MS
National Provider Identifier
1689644510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 16355
- Practice address
- 1542 Medical Park Cir
Tupelo, MS 38801-6560 - Phone
- (662) 844-4711
- Fax
- (662) 844-9619
- NPI assigned
- Jan 24, 2006
- Last updated
- Jun 30, 2008
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 16355 | MS | Primary |
Addresses
Primary practice location
1542 Medical Park Cir
Tupelo, MS 38801-6560
Mailing address
1542 Medical Park Cir
Tupelo, MS 38801-6560
Phone (662) 844-4711
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00120600 | Medicaid | MS | |
| 73000857 | Other | BLUE CROSS BLUE SHIELD | |
| 009970190 | Medicaid | AL | |
| 16355 | Other | STATE LIC NUMBER | |
| 3135095 | Other | MS | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients |
Interoperability endpoints
- tzonkomilev@nmhs.medalliesdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Tupelo, MS
- NPI 1902975139
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1689644510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1542 MEDICAL PARK CIR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016560",
"telephone_number": "662-844-4711",
"fax_number": "662-844-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1542 MEDICAL PARK CIR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016560",
"telephone_number": "662-844-4711",
"fax_number": "662-844-9619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILEV",
"first_name": "TZONKO",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MS",
"license": "16355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00120600",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "73000857",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009970190",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC NUMBER",
"identifier": "16355",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3135095",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.