Individual provider Active NPI

Robert Wynn Tonks, MD

  • Interventional Cardiology Physician
  • Twin Falls, ID
National Provider Identifier
1902197866
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
M-15241 Issued in ID
Practice address
775 Pole Line Rd W Ste 112
Twin Falls, ID 83301-5819
Phone
(208) 814-1000
NPI assigned
Apr 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X M-15241 ID Primary

Addresses

Primary practice location

775 Pole Line Rd W Ste 112
Twin Falls, ID 83301-5819

Mailing address

775 Pole Line Rd W Ste 112
Twin Falls, ID 83301-5819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN, ID3 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
I20160321002194 NC Practitioner - Internal Medicine 7618119322
I20180730002487 TN Practitioner - Internal Medicine 7618119322 Reassigns benefits to 1 organization
I20200729002348 ID Practitioner - Interventional Cardiology 7618119322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

Practice addresses (Care Compare)

746 N College Rd
Twin Falls, ID 83301-3486

775 Pole Line Rd W
Twin Falls, ID 83301-5814
Phone (208) 814-1500

775 Pole Line Rd W
Twin Falls, ID 83301-5819

775 Pole Line Rd W
Twin Falls, ID 83301-5823

801 Pole Line Rd W
Twin Falls, ID 83301-5810

Hospital & facility affiliations

  • St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002
  • St Luke'S Wood River Medical Center Hospital, Ketchum, ID, CCN 131323
  • Cassia Regional Hospital Hospital, Burley, ID, CCN 131326
  • Minidoka Memorial Hospital Hospital, Rupert, ID, CCN 131319
  • St Luke'S Jerome Hospital, Jerome, ID, CCN 131310

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting97
Pacemaker insertion or repair30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-15241IDMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Jan 6, 2018 Accepting new patients
Minidoka Memorial Hospital Current Accepting new patients
St Luke'S Clinic LLC Family Medicine CurrentSince Jul 31, 2020 Accepting new patients
Summit Medical Group, PLLC Family Medicine CurrentSince Jan 6, 2018 Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

1224 8th St
Rupert, ID 83350
Phone (208) 434-8236

775 Pole Line Rd W
Ste 11
Twin Falls, ID 83301

801 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1000

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

775 Pole Line Rd W
Ste 112
Twin Falls, ID 83301
Phone (208) 814-1000

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

Interoperability endpoints

  • Direct secure messaging: rtonks180375@direct.slhs.org

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 5

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": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1902197866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 POLE LINE RD W STE 112",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 POLE LINE RD W STE 112",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015819",
            "telephone_number": "208-814-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONKS",
        "first_name": "ROBERT",
        "middle_name": "WYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "ID",
            "license": "M-15241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.