NPIMap

Individual provider Active NPI

Todd Vincent Robinson, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1831291533
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25750 Issued in TN
Practice address
1714 W Massey Rd
Memphis, TN 38120-4205
Phone
(901) 685-5520
Fax
(901) 685-0782
NPI assigned
Sep 2, 2006
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25750 TN Primary

Addresses

Primary practice location

1714 W Massey Rd
Memphis, TN 38120-4205

Mailing address

1714 W Massey Rd
Memphis, TN 38120-4205
Phone (901) 685-5520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607000698 TN Practitioner - Internal MedicinePractitioner - Emergency Medicine 2264475680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preventivemd PLLCGroup PAC ID 8820523004, 2 clinicians

Practice addresses (Care Compare)

4066 Summer Ave
Memphis, TN 38122-5262
Phone (901) 452-7391

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25750TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preventivemd, PLLC Internal Medicine CurrentSince Aug 19, 2024 Accepting new patients
Preventivemd, PLLC Internal Medicine Current Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Past Accepting new patients
LS of Memphis, PC Internal Medicine Past Accepting new patients

Locations

1407 Union Ave
Ste 305
Memphis, TN 38104
Phone (901) 609-2444

4066 Summer Ave
Memphis, TN 38122
Phone (901) 452-7391

Organizations & group practices 4

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 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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1831291533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 W MASSEY RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204205",
            "telephone_number": "901-685-5520",
            "fax_number": "901-685-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 W MASSEY RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204205",
            "telephone_number": "901-685-5520",
            "fax_number": "901-685-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TODD",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "25750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.