Individual provider Active NPI

Nathan Yennumi Tonlaar, M.D.

  • Radiation Oncology Physician
  • Springfield, MO
National Provider Identifier
1811284375
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2016014780 Issued in MO
Practice address
2055 S Fremont Ave
Mercy Clinic Radiation Oncology, Chaub O'Reilly Center
Springfield, MO 65804-2206
Phone
(417) 820-2468
Fax
(417) 820-7794
NPI assigned
Jul 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 4301099423 MI
Radiation Oncology Physician 2085R0001X 2016014780 MO Primary

Addresses

Primary practice location

2055 S Fremont Ave
Mercy Clinic Radiation Oncology, Chaub O'Reilly Center
Springfield, MO 65804-2206

Mailing address

2055 S Fremont Ave
Mercy Clinic Radiation Oncology, Chaub O'Reilly Center
Springfield, MO 65804-2206
Phone (417) 820-2468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160811000338 MO Practitioner - Radiation Oncology 7911291117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Chicago, Pritzker School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

2055 S Fremont Ave
MC Radiation Oncology
Springfield, MO 65804-2206
Phone (417) 820-2468

448 State Hwy 248
Suite 160
Branson, MO 65616-3725
Phone (417) 213-4696

Hospital & facility affiliations

  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301099423MIMDRadiation Oncology Physician
2016014780MOMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Aug 1, 2016 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 1, 2016 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Apr 21, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Sep 24, 2019 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Apr 21, 2025 Accepting new patients

Locations

448 State Highway 248
Ste 160
Branson, MO 65616
Phone (417) 213-4696

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

2055 S Fremont Ave
Ste 10
Springfield, MO 65804
Phone (417) 820-2468

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

2055 S Fremont Ave
Ste 110
Springfield, MO 65804
Phone (417) 820-9365

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

2055 S Fremont Ave
Springfield, MO 65804
Phone (417) 820-2468

Organizations & group practices 5

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 9

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1811284375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 S FREMONT AVE",
            "address_2": "MERCY CLINIC RADIATION ONCOLOGY, CHAUB O'REILLY CENTER",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042206",
            "telephone_number": "417-820-2468",
            "fax_number": "417-820-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 S FREMONT AVE",
            "address_2": "MERCY CLINIC RADIATION ONCOLOGY, CHAUB O'REILLY CENTER",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042206",
            "telephone_number": "417-820-2468",
            "fax_number": "417-820-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONLAAR",
        "first_name": "NATHAN",
        "middle_name": "YENNUMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301099423",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "2016014780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.