TIDO A LATOUR CRNA
NPI 1457348773
Nurse Anesthetist, Certified Registered in Johnson City, TN

Active since October 03, 2005PECOS Enrolled
1009 NOVUS DR STE 2, JOHNSON CITY, TN 37604(423) 283-0776 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2023, Aug 19, 2022, Jul 27, 2021 (3 updates tracked since 2021).

About Tido A Latour Crna NPPES

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

TIDO A LATOUR CRNA (NPI 1457348773) is an individual nurse anesthetist, certified registered in Johnson City, Tennessee, licensed in Tennessee (10345) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457348773
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTIDO A LATOURCredential: CRNA
Location Address1009 NOVUS DR STE 2Johnson City, TN 37604-8237
Mailing Address1009 Novus Dr Ste 2Johnson City, TN 37604-8237 · (423) 283-0776
Sole ProprietorNo
Enumeration DateOctober 3, 2005
Last NPPES UpdateMarch 17, 20233 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1457348773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in TN · 10345✔ Licensed in SC · 27158✔ Licensed in TN · RN127822
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1009 NOVUS DR STE 2, Johnson City, TN 37604

Other Identifiers 5

Other39792TN · Tlc
Other413868097TN · Tricare
Other4142848TN · Blue Cross
OtherP00391672Rr Medicare #
Other205315TN · Unison

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tido A Latour Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Tido Latour reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Surgical
701 MED TECH PKWY
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Paragon Anesthesia PC
  • 294 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
501 20TH ST, SUITE 606
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: American Anesthesiology Of Tennessee PC
  • 959 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
550 FORT LOUDOUN MEDICAL CENTER DRIVE
Lenoir City, TN 37772
  • Reassigned Medicare billing, Tennessee enrollment
  • 124 clinicians in this Medicare group
Anesthesiology
305 LANGDON ST
Somerset, KY 42503
  • Reassigned Medicare billing, Kentucky enrollment
  • 88 clinicians in this Medicare group
Family Medicine
1612 CHAPIN RD
Chapin, SC 29036
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,219 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
301 TYSON AVE
Paris, TN 38242
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Henry County Medical Center
  • 83 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Tennessee enrollment
  • 65 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.

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
16 services16 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%40 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Anesthetist, Certified Registered
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Nurse Anesthetist, Certified Registered
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Nurse Anesthetist, Certified Registered
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Nurse Anesthetist, Certified Registered
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Nurse Anesthetist, Certified Registered
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Anesthesiology
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Nurse Anesthetist, Certified Registered
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Nurse Anesthetist, Certified Registered
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604

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 Tido Latour's NPI number?

The NPI number for Tido Latour is 1457348773. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Tido Latour located?

Tido Latour practices at 1009 Novus Dr Ste 2, Johnson City, TN 37604. The listed phone number is (423) 283-0776.

What is Tido Latour's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Tido Latour enrolled in Medicare?

Yes. Tido Latour is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tido Latour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tido Latour reassigns Medicare benefits to 7 organizations: East Tennessee Ambulatory Surgery Center LLC (Johnson City, TN), American Anesthesiology Of Tennessee, P.C. (Knoxville, TN), Resource Anesthesia, P.C. (Lenoir City, TN), Capital Anesthesia Solutions Of Kentucky LLC (Somerset, KY), Lexington Health Inc (Chapin, SC) 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 Tido Latour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tido Latour was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.