Active NPI
Todd D Tillmanns, M.D
- Gynecologic Oncology Physician
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 37514
- Practice address
- 7945 Wolf River Boulevard
Germantown, TN 38138 - Phone
- (901) 683-0055
- Fax
- (901) 922-6701
- NPI assigned
- Jul 2, 2006
- 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 |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 18211 | MS | |
| Gynecologic Oncology Physician | 207VX0201X | 37514 | TN | Primary |
Addresses
Primary practice location
7945 Wolf River Boulevard
Germantown, TN 38138
Mailing address
7945 Wolf River Boulevard
Germantown, TN 38138
Phone (901) 683-0055
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209044718 | Medicaid | MO | |
| 735243 | Other | AETNA | |
| 99539 | Other | AR | BCBS AR |
| 150946001 | Medicaid | AR | |
| 3885476 | Medicaid | TN | |
| 02074591 | Medicaid | MS | |
| 4101165 | Other | TN | BCBS TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- Creighton University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1588 Union Ave
Memphis, TN 38104-3729
Phone (901) 300-1562
225 E Jackson Ave
Jonesboro, AR 72401-3119
Phone (870) 207-8210
240 Grandview Dr
Brighton, TN 38011-4253
Phone (901) 475-0678
6005 Park Ave
Suite 700
Memphis, TN 38119-5217
Phone (901) 527-3391
7668 Airways Blvd
Southaven, MS 38671-5304
Phone (662) 349-9556
7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 683-0055
877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-7100
Hospital & facility affiliations
- Regional One Health
- St Bernards Medical Center
- St Francis Hospital
- Methodist Hospitals of Memphis
- Jackson-Madison County General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.15 of 100
- Quality
- 83.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.26
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Skin biopsy | 1-10 |
| Removal of the uterus | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37514 | TN | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The West Clinic P.C. | Current | Accepting new patients | |
| Jackson Madison County General Hospital | Current | Accepting new patients | |
| Shelby County Health Care Corporation | Current | Accepting new patients | |
| Jackson Madison County General Hospital | Current | Accepting new patients | |
| Shelby County Health Care Corporation | Gynecologic Oncology | Current | Accepting new patients |
| St Bernards Physician Clinics Inc | Past | Accepting new patients | |
| Doctors Health Group, Inc. | Past | Accepting new patients | |
| Memphis and Shelby County Health Dept. | Past | Accepting new patients |
Locations
7668 Airways Blvd
Southaven, MS 38671
Phone (662) 349-9556
55 Physicians Ln
Ste 2
Southaven, MS 38671
Phone (662) 349-9556
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
24 Physicians Dr
Cookeville, TN 38505
8132 Cordova Rd
Ste 101
Cordova, TN 38016
Phone (901) 231-1360
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
700 W Forest Ave
Ste 100
Jackson, TN 38301
Phone (731) 541-8800
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
7714 Poplar Ave
Ste 200
Memphis, TN 38138
Phone (901) 322-9080
7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000
1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
Interoperability endpoints
- ttillmanns34513@mlh.direct-ci.com
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 and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Memphis, TN
- NPI 1780685750
Gynecologic Oncology
-
- Radiation Oncology Physician
- Jonesboro, AR
- NPI 1184968661
-
- General Practice Physician
- Jackson, TN
- NPI 1467493916
-
- Diagnostic Radiology Physician
- Jackson, TN
- NPI 1891687208
-
- Clinic Pharmacy
- Memphis, TN
- NPI 1629542493
-
- Family Medicine Physician
- Memphis, TN
- NPI 1073514055
-
- Family Medicine Physician
- Trumann, AR
- NPI 1972054146
-
- Surgery Physician
- Jonesboro, AR
- NPI 1447923438
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1952326977
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1144213117
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1720017577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7945 WOLF RIVER BOULEVARD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "38138",
"telephone_number": "901-683-0055",
"fax_number": "901-922-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7945 WOLF RIVER BOULEVARD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "38138",
"telephone_number": "901-683-0055",
"fax_number": "901-922-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLMANNS",
"first_name": "TODD",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "MS",
"license": "18211",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "TN",
"license": "37514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209044718",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "735243",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AR",
"identifier": "99539",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150946001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3885476",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02074591",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "4101165",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.
- 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.