TONY THOPPIL MD
NPI 1336766872
Family Medicine in Minneapolis, MN

Active since July 01, 2020PECOS EnrolledAccepts Medicare Assignment
2810 NICOLLET AVE, MINNEAPOLIS, MN 55408(612) 873-8088 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tony Thoppil Md NPPES

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

TONY THOPPIL MD (NPI 1336766872) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Wisconsin (81312-20) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and maintains a secondary practice location in Janesville.

NPPES Registry Identity

NPI1336766872
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTONY THOPPILCredential: MD
Location Address2810 NICOLLET AVEMinneapolis, MN 55408-4708
Mailing Address2810 Nicollet AveMinneapolis, MN 55408-4708 · (612) 873-8088
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 1, 2020
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
NPI 1336766872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 81312-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 31198 (MN)
2810 NICOLLET AVE, Minneapolis, MN 55408

Secondary Practice Location 1

Location 13524 E Milwaukee StJanesville, WI 53546-1626 · Phone (608) 756-7100 · Fax (608) 756-7225

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tony Thoppil Md 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 ID345664603
PECOS Enrollment IDI20230821002476
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
231 services210 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
84 services80 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55408 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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.

Family Medicine
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408
Counselor (Professional)
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408
Psychologist (Clinical)
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408
Pharmacist
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408
Nurse Practitioner (Family)
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408
Nurse Practitioner (Family)
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408
Physician Assistant
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408
Specialist
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408

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 Tony Thoppil's NPI number?

The NPI number for Tony Thoppil is 1336766872. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Where is Tony Thoppil located?

Tony Thoppil practices at 2810 Nicollet Ave, Minneapolis, MN 55408. The listed phone number is (612) 873-8088.

What is Tony Thoppil's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tony Thoppil enrolled in Medicare?

Yes. Tony Thoppil 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.

What insurance does Tony Thoppil accept?

Health plans from Anthem Blue Cross and Blue Shield list Tony Thoppil 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.

Is Tony Thoppil affiliated with any hospitals?

According to CMS data, Tony Thoppil is affiliated with Mercy Health System Corp.

When was this NPI record last updated?

The NPPES record for Tony Thoppil was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.