Individual provider Active NPI

Monique A Tolston, MD

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1750395109
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME148164 Issued in FL
Practice address
500 Roser Park Dr S
St Petersburg, FL 33701-5214
Phone
(727) 898-4461
Fax
(727) 502-0841
NPI assigned
Jul 28, 2006
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TEP5319 NE
Family Medicine Physician 207Q00000X ME148164 FL Primary

Addresses

Primary practice location

500 Roser Park Dr S
St Petersburg, FL 33701-5214

Mailing address

500 Roser Park Dr S
St Petersburg, FL 33701-5214
Phone (727) 898-4461

Other identifiers 1

IdentifierTypeStateIssuer
47055301100MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210804000537 FL Practitioner - Family Practice 6204836075
I20241007004064 LA Practitioner - Family Practice 6204836075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

2120 Driftwood Blvd
Kenner, LA 70065-3574
Phone (504) 842-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TEP5319NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 26, 2024 Accepting new patients
Ochsner Clinic LLC Family Medicine CurrentSince Jul 26, 2024 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Charles Drew Health Center Inc PastSince May 25, 2021 Accepting new patients
Ochsner Medical Center - Kenner, L.L.C. Past Accepting new patients
Benson Community Health Center PastSince Dec 1, 2015 Accepting new patients
Urgent Care Clinic of Lincoln, P.C. Past Accepting new patients

Locations

2120 Driftwood Blvd
Kenner, LA 70065

1514 Jefferson Hwy
New Orleans, LA 70121

Interoperability endpoints

  • Direct secure messaging: mtolston2288442@direct.ochsner.org

Organizations & group practices 7

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1750395109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ROSER PARK DR S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337015214",
            "telephone_number": "727-898-4461",
            "fax_number": "727-502-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ROSER PARK DR S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337015214",
            "telephone_number": "727-898-4461",
            "fax_number": "727-502-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLSTON",
        "first_name": "MONIQUE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "TEP5319",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME148164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055301100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.