DR. RICHARD TILLEY M.D.
NPI 1275648099
Internal Medicine in Gulfport, MS

NPI Status: Active since August 20, 2006

Contact Information

1110 BROAD AVE
SUITE 700
GULFPORT, MS
ZIP 39501
Phone: (228) 864-0314
Fax: (228) 864-0425

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  • Individual
  • Male
  • Internal Medicine

About RICHARD TILLEY

This page provides the complete NPI Profile along with additional information for Richard Tilley, an internist established in Gulfport, Mississippi with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1275648099 assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X with license number 07061 (MS). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1275648099
Provider Name
DR. RICHARD TILLEY M.D.
Other Name Type
Professional Name (2)
Gender
Male
Entity Type
Individual
Location Address
1110 BROAD AVE SUITE 700 GULFPORT, MS 39501
Location Phone
(228) 864-0314
Location Fax
(228) 864-0425
Mailing Address
PO BOX 555 BILOXI, MS 39533
Mailing Phone
(228) 864-8454
Mailing Fax
(228) 864-0425
Is Sole Proprietor?
No
Enumeration Date
08-20-2006
Last Update Date
08-24-2010
Code Navigator

An internist like Richard Tilley is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
07061
License State
MS
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
$$$$$$$$$BOTHER (01)MSBCBS
$$$$$$$$$COTHER (01)MSBCBS
00112524MEDICAID (05)MS 
D00835MEDICARE UPIN (02)MS 
110105095OTHER (01)MSRAILROAD MEDICARE
110000610MEDICARE ID-TYPE UNSPECIFIED (04)MS 
302I115952MEDICARE PIN (08)MS 
512I110231MEDICARE PIN (08)MS 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275648099
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2214512416018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 2 + 4 + 1 + 6 + 0 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1275648099 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

MEDICAL FOUNDATION OF SOUTH MS

Internal Medicine

1110 BROAD AVE
SUITE 700
GULFPORT, MS
ZIP 39501

(228) 864-0314

MEDICAL FOUNDATION OF SOUTH MS

Clinical Medical Laboratory

1110 BROAD AVE
SUITE 700
GULFPORT, MS
ZIP 39501

(228) 864-4151

MEMORIAL HOSPITAL AT GULFPORT

Internal Medicine

1110 BROAD AVE
SUITE 700
GULFPORT, MS
ZIP 39501

(228) 864-0314

ATLANTIC OB/GYN, INC

Specialist

1110 BROAD AVE
SUITE 100
GULFPORT, MS
ZIP 39501

(228) 871-5047

MRS. KRISTIN SESSUMS MS, RD, LD

Dietitian, Registered

1110 BROAD AVE
SUITE 500
GULFPORT, MS
ZIP 39501

(228) 243-0880

KELSEY J. LINGSCH RD

Dietitian, Registered

1110 BROAD AVE
SUITE 600
GULFPORT, MS
ZIP 39501

(228) 243-0880

DR. THOMAS BLANKS M.D.

Internal Medicine

1110 BROAD AVE
SUITE 700
GULFPORT, MS
ZIP 39501

(228) 864-0314

DR. JOHNNY B FRANKLIN M.D.

Internal Medicine

1110 BROAD AVE
SUITE 700
GULFPORT, MS
ZIP 39501

(228) 385-4645

JENNIFER JACKSON NP

Nurse Practitioner

(Family)

1110 BROAD AVE
STE 700
GULFPORT, MS
ZIP 39501

(228) 867-4580

DIABETES CLINIC OF THE COAST, PLLC

Nurse Practitioner

(Family)

1110 BROAD AVE
SUITE 600
GULFPORT, MS
ZIP 39501

(228) 220-1588

DR. RICHA GUPTA M.D.

Internal Medicine

(Rheumatology)

1110 BROAD AVE
SUITE 500
GULFPORT, MS
ZIP 39501

(228) 575-2588

LAINIE J JORNS MD

Family Medicine

1110 BROAD AVE
SUITE 700
GULFPORT, MS
ZIP 39501

(228) 864-0314

KRISHNA SAI KOMMINENI MBBS

Internal Medicine

(Rheumatology)

1110 BROAD AVE
SUITE 500
GULFPORT, MS
ZIP 39501

(228) 575-2588

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275648099, enumerated as an "individual" on August 20, 2006.

The provider is located at 1110 BROAD AVE SUITE 700 GULFPORT, MS 39501 and the phone number is (228) 864-0314.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.