Individual provider Active NPI

Todd D Tillmanns, M.D

  • Gynecologic Oncology Physician
  • Germantown, TN
National Provider Identifier
1720017577
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
37514 Issued in TN
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

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
209044718MedicaidMO
735243OtherAETNA
99539OtherARBCBS AR
150946001MedicaidAR
3885476MedicaidTN
02074591MedicaidMS
4101165OtherTNBCBS TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050315000982 TN Practitioner - Gynecological Oncology 3375598063 Reassigns benefits to 3 organizations
I20050415000485 MS Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 3375598063 Reassigns benefits to 1 organization
I20121005000615 AR Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 3375598063 Reassigns benefits to 1 organization

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
The West Clinic P.C.Group PAC ID 2668360579, 115 clinicians
Cancer Care Associates IncGroup PAC ID 2769637222, 23 clinicians
Shelby County Health Care CorporationGroup PAC ID 6608784855, 35 clinicians

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 Hospital, Memphis, TN, CCN 440152
  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as subgroup
Quality
83.22
Promoting interoperability
100
Improvement activities
40
Cost
77.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Skin biopsy1-10
Removal of the uterus40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37514TNMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The West Clinic P.C. CurrentSince Mar 28, 2005 Accepting new patients
Jackson Madison County General Hospital CurrentSince Apr 1, 2024 Accepting new patients
Shelby County Health Care Corporation CurrentSince Nov 1, 2020 Accepting new patients
Jackson Madison County General Hospital CurrentSince Apr 1, 2024 Accepting new patients
Shelby County Health Care Corporation Gynecologic Oncology CurrentSince Nov 1, 2020 Accepting new patients
St Bernards Physician Clinics Inc PastSince Aug 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.