TONDO INTERNAL MEDICINE
NPI 1205136595
Internal Medicine in Troutman, NC

Active since November 02, 2010CLIA 34D0887714 · Waiver
510 N MAIN ST, TROUTMAN, NC 28166(704) 528-3721 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tondo Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONDO INTERNAL MEDICINE (NPI 1205136595) is a healthcare organization registered as an internal medicine in Troutman, North Carolina and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Kathryn Heles, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1205136595
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIREDELL PHYSICIAN NETWORK LLC
Location Address510 N MAIN STTroutman, NC 28166-9529
Mailing AddressPo Box 896199Charlotte, NC 28289-9529 · (833) 936-1364 · Fax (605) 936-1364
Organization SubpartYes
Authorized OfficialKathryn HelesCredentialing · (866) 340-0396
Enumeration DateNovember 2, 2010
Last NPPES UpdateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1205136595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
510 N MAIN ST, Troutman, NC 28166

Other Names 1

Doing Business AsTondo Internal Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tondo Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

116

Medicare enrollment records show 116 clinicians reassign Medicare billing to Tondo Internal Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 62 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Certified Registered Nurse Anesthetist (CRNA)39
Nurse Practitioner29
Family Practice10
Internal Medicine8
Emergency Medicine5
Cardiovascular Disease (Cardiology)3
Psychiatry3
Interventional Pain Management2
15 other specialties17

Nearest to this location (20)

See all 116
Internal Medicine
NPI 1114922622
510 N MAIN ST
Troutman, NC 28166
(704) 528-3721
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467814418
250 OLD MURDOCK RD
Troutman, NC 28166
(704) 508-7517
✔ PECOS0.3 mi
Family Practice
NPI 1710100144
285 N MAIN ST
Troutman, NC 28166
(704) 883-3374
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1518081520
310 DAVIE AVE
Statesville, NC 28677
(704) 873-3269
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1558695213
310 DAVIE AVENUE
Statesville, NC 28677
(704) 873-3269
✔ PECOS✔ Accepts Medicare5.3 mi
General Surgery
NPI 1750680062
1540 E BROAD ST STE A
Statesville, NC 28625
(704) 878-4958
✔ PECOS✔ Accepts Medicare5.8 mi
Cardiovascular Disease (Cardiology)
NPI 1932214137
738 BRYANT ST SUITE A
Statesville, NC 28677
(704) 873-1180
✔ PECOS✔ Accepts Medicare6.0 mi
Internal Medicine
NPI 1659311207
738 BRYANT ST SUITE A
Statesville, NC 28677
(704) 873-1189
✔ PECOS✔ Accepts Medicare6.0 mi
Qualified Audiologist
NPI 1083540645
740 BRYANT ST
Statesville, NC 28677
(704) 878-6272
6.0 mi
Neurosurgery
NPI 1508868647
766 HARTNESS RD STE C
Statesville, NC 28677
(704) 954-8277
✔ PECOS✔ Accepts Medicare6.1 mi
Interventional Pain Management
NPI 1669091260
766 HARTNESS RD STE A
Statesville, NC 28677
(704) 360-4378
✔ PECOS✔ Accepts Medicare6.1 mi
Psychiatry
NPI 1003254806
515 BROOKDALE DR
Statesville, NC 28677
(704) 380-3620
✔ PECOS6.1 mi
Pediatric Medicine
NPI 1699188912
728 HARTNESS RD
Statesville, NC 28677
(704) 360-6420
✔ PECOS6.1 mi
Vascular Surgery
NPI 1215912258
770 HARTNESS RD
Statesville, NC 28677
(704) 873-5594
✔ PECOS✔ Accepts Medicare6.1 mi
Orthopedic Surgery
NPI 1396777066
774 HARTNESS RD
Statesville, NC 28677
(704) 768-3030
✔ PECOS✔ Accepts Medicare6.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306869870
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts Medicare6.1 mi
Diagnostic Radiology
NPI 1982606281
557 BROOKDALE DR
Statesville, NC 28677
(704) 878-4510
✔ PECOS✔ Accepts Medicare6.2 mi
Emergency Medicine
NPI 1366670457
293 OLD MOCKSVILLE RD
Statesville, NC 28625
(704) 872-8711
✔ PECOS✔ Accepts Medicare8.5 mi
Physical Medicine and Rehabilitation
NPI 1336144138
293 OLD MOCKSVILLE RD
Statesville, NC 28625
(704) 872-8711
✔ PECOS✔ Accepts Medicare8.5 mi
Rheumatology
NPI 1649270190
293 OLD MOCKSVILLE RD
Statesville, NC 28625
(704) 872-8711
✔ PECOS✔ Accepts Medicare8.5 mi
See all 116 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0887714

Iredell Physician Network LLC Dba Tondo Internal Medicine · Troutman, NC
Active · expires Dec 13, 2026
CLIA Number34D0887714
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorDr. Lewis Tondo
Laboratory Phone(704) 528-3721
Laboratory LocationIredell Physician Network LLC Dba Tondo Internal Medicine510 North Main Street, Troutman, NC 28166
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iredell Physician Network LLC's NPI number?

The NPI number for Iredell Physician Network LLC is 1205136595. It was assigned to this organization in the NPPES registry on November 2, 2010. The provider is doing business as Tondo Internal Medicine.

Where is Iredell Physician Network LLC located?

Iredell Physician Network LLC is located at 510 N Main St, Troutman, NC 28166. The listed phone number is (704) 528-3721.

What is Iredell Physician Network LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Iredell Physician Network LLC enrolled in Medicare?

Yes. Iredell Physician Network LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Iredell Physician Network LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 23 Medicare specialties reassign their Medicare billing to Iredell Physician Network LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (39), Nurse Practitioner (29) and Family Practice (10). Of these, 1 practice at this address and 62 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Iredell Physician Network LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0887714) is associated with this NPI, valid through December 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Iredell Physician Network LLC accept?

Health plans from AmeriHealth Caritas Next list Iredell Physician Network LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Iredell Physician Network LLC was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.