Individual provider Active NPI

Michael Keith Toms, MD

  • Internal Medicine Physician
  • Hopkinsville, KY
National Provider Identifier
1710939558
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39087 Issued in KY
Practice address
270 Burley Ave
Hopkinsville, KY 42240-8725
Phone
(270) 887-6767
Fax
(270) 887-6161
NPI assigned
May 17, 2006
Last updated
Apr 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39087 KY Primary
Pediatrics Physician 208000000X 39087 KY

Addresses

Primary practice location

270 Burley Ave
Hopkinsville, KY 42240-8725

Mailing address

270 Burley Ave
Hopkinsville, KY 42240-8725
Phone (270) 887-6767

Other identifiers 2

IdentifierTypeStateIssuer
64096944MedicaidKY
P400016004OtherKYMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050408000928 KY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5597702779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Louisville School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generations Primary Care PSCGroup PAC ID 8123158086, 5 clinicians

Practice addresses (Care Compare)

270 Burley Ave
Hopkinsville, KY 42240-8725
Phone (270) 887-6767

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc CurrentSince Sep 1, 2005 Accepting new patients
Generations Primary Care PSC Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients
Blanks, LLC Internal Medicine Current Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Sep 1, 2005 Accepting new patients
Christian County Health Department CurrentSince Jul 1, 2011 Accepting new patients
Don L Perkins, MD, Inc PastSince May 1, 2010 Accepting new patients

Locations

10755 Eagle Way
Ste 100
Hopkinsville, KY 42240
Phone (270) 887-0270

10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640

1700 Canton St
Hopkinsville, KY 42240
Phone (270) 887-4160

270 Burley Ave
Hopkinsville, KY 42240
Phone (270) 887-6767

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22167/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.toms.1@22167.direct.athenahealth.com
  • Direct secure messaging: mtoms1012659@direct.deaconess.com

Organizations & group practices 6

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 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1710939558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 BURLEY AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408725",
            "telephone_number": "270-887-6767",
            "fax_number": "270-887-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BURLEY AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408725",
            "telephone_number": "270-887-6767",
            "fax_number": "270-887-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMS",
        "first_name": "MICHAEL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "39087",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "39087",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64096944",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P400016004",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.