TIFFANY R TONISMAE
NPI 1245505478
Obstetrics & Gynecology - Maternal & Fetal Medicine in Louisville, KY

Active since March 21, 2012PECOS EnrolledAccepts Medicare Assignment
401 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 588-4400 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 4, 2025, Mar 21, 2023, Aug 19, 2022 and 4 more (7 updates tracked since 2016).

About Tiffany R Tonismae NPPES

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

TIFFANY R TONISMAE (NPI 1245505478) is an individual maternal & fetal medicine provider in Louisville, Kentucky, licensed in Kentucky (57470) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of South Carolina School Of Medicine (2012).

NPPES Registry Identity

NPI1245505478
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameTIFFANY R TONISMAE
Location Address401 E CHESTNUT STLouisville, KY 40202-5700
Mailing Address625 6th Ave S Ste 340St Petersburg, FL 33701-4619 · (727) 767-7903 · Fax (727) 767-7905
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2012
Enumeration DateMarch 21, 2012
Last NPPES UpdateDecember 4, 20257 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1245505478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in KY · 57470✔ Licensed in FL · ME140511✔ Licensed in WA · MD70070337
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
401 E CHESTNUT ST, Louisville, KY 40202

Secondary Practice Locations 4

Location 1625 6th Ave S Ste 340St Petersburg, FL 33701-4619 · Phone (727) 767-7903 · Fax (727) 767-7905
Location 2119 Oakfield DrBrandon, FL 33511-5779 · Phone (727) 767-7903 · Fax (727) 767-7905
Location 3400 S 43rd StRenton, WA 98055-5714 · Phone (425) 690-2715
Location 42318 Manatee Ave WBradenton, FL 34205-5432 · Phone (941) 714-7150

Other Identifiers 1

Medicaid102693500FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany R Tonismae is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022251818
PECOS Enrollment IDI20230404001070, I20240718001087
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Tiffany Tonismae reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otolaryngology
401 E CHESTNUT ST UNIT 710
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
Psychiatry
701 CASHUA FERRY RD
Darlington, SC 29532
  • Reassigned Medicare billing, South Carolina enrollment
  • 878 clinicians in this Medicare group
Maternal & Fetal Medicine
295 MIDLAND PKWY
Summerville, SC 29485
  • Reassigned Medicare billing, South Carolina enrollment
  • 7 clinicians in this Medicare group
Family Medicine
3601 LADSON RD, SUITE 101
Ladson, SC 29456
  • Reassigned Medicare billing, South Carolina enrollment
  • 33 clinicians in this Medicare group
Psychiatric Unit
1221 E MCPHERSON AVE
Nashville, GA 31639
  • Reassigned Medicare billing, Georgia enrollment
  • 118 clinicians in this Medicare group
General Acute Care Hospital
90 INDUSTRIAL PARK CIR
Ocean Springs, MS 39564
  • Reassigned Medicare billing, Mississippi enrollment
  • 731 clinicians in this Medicare group
General Acute Care Hospital
400 S 43RD ST
Renton, WA 98055
  • Reassigned Medicare billing, Washington enrollment
  • 689 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202
Colon & Rectal Surgery
401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202
Surgery (Surgical Critical Care)
401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202
Internal Medicine (Endocrinology, Diabetes & Metabolism)
401 E CHESTNUT ST, STE #310
LOUISVILLE, KY 40202
Psychiatry & Neurology (Psychiatry)
401 E CHESTNUT ST, SUITE 610
LOUISVILLE, KY 40202
Occupational Therapist (Neurorehabilitation)
401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202
Surgery (Trauma Surgery)
401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202
Psychiatry & Neurology (Neurology)
401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202

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 Tiffany Tonismae's NPI number?

The NPI number for Tiffany Tonismae is 1245505478. It was assigned to this individual provider in the NPPES registry on March 21, 2012.

Where is Tiffany Tonismae located?

Tiffany Tonismae practices at 401 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 588-4400.

What is Tiffany Tonismae's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Tiffany Tonismae enrolled in Medicare?

Yes. Tiffany Tonismae is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tiffany Tonismae's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Tonismae reassigns Medicare benefits to 7 organizations: University Of Louisville Physicians, Inc (Louisville, KY), Mcleod Physician Associates II (Darlington, SC), Obtelecare South Carolina PC (Summerville, SC), Coastal Carolina Primary Care, LLC (Ladson, SC), South Georgia Medical Center Inc (Nashville, GA) and 2 more organizations, listed in the Medicare section above. Each 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 Tiffany Tonismae's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Tonismae accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BlueCross BlueShield of South Carolina and 6 other insurers list Tiffany Tonismae 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 Tiffany Tonismae was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.