Individual provider Active NPI

Denise R Tonner, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Vero Beach, FL
National Provider Identifier
1821171372
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME64374 Issued in FL
Practice address
908 E Causeway Blvd
Vero Beach, FL 32963-2234
Phone
(772) 360-4973
Fax
(772) 299-3005
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME64374 FL Primary

Addresses

Primary practice location

908 E Causeway Blvd
Vero Beach, FL 32963-2234

Mailing address

908 E Causeway Blvd
Vero Beach, FL 32963-2234
Phone (772) 360-4973

Other identifiers 1

IdentifierTypeStateIssuer
373706300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040527001051 FL Practitioner - Endocrinology 9739160409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of North Dakota School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

908 E Causeway Blvd
Vero Beach, FL 32963-2234
Phone (772) 360-4973

Hospital & facility affiliations

  • NHC Homecare Home health agency, Vero Beach, FL, CCN 107515
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tillyton LLC Ocean Blue Medical Endocrinology, Diabetes & Metabolism CurrentSince Jun 9, 2022 Accepting new patients
Advanced Diabetes Treatment Centers LLC Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

908 E Causeway Blvd
Vero Beach, FL 32963
Phone (772) 231-3777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEIHCD/Endpoint/HEIHCD

Organizations & group practices 2

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 3

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1821171372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 E CAUSEWAY BLVD",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632234",
            "telephone_number": "772-360-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 E CAUSEWAY BLVD",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632234",
            "telephone_number": "772-360-4973",
            "fax_number": "772-299-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONNER",
        "first_name": "DENISE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME64374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373706300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.