Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TODD V WISE MD
NPI 1790740892
Internal Medicine in Memphis, TN

Active since April 20, 2006PECOS Enrolled
1056 E RAINES RD, MEMPHIS, TN 38116(901) 300-5777 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Apr 2, 2024, Jan 14, 2022 and 3 more (6 updates tracked since 2019).

About Todd V Wise Md NPPES

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

TODD V WISE MD (NPI 1790740892) is an individual internal medicine provider in Memphis, Tennessee, licensed in Oregon (MD21898) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1790740892
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTODD V WISECredential: MD
Location Address1056 E RAINES RDMemphis, TN 38116-6337
Mailing AddressPo Box 3158Portland, OR 97208-3158
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateApril 20, 2006
Last NPPES UpdateJuly 15, 20266 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1790740892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in OR · MD21898 Licensed in TX · S8264 Licensed in WA · MD60003713
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.
1056 E RAINES RD, Memphis, TN 38116

Secondary Practice Location 1

Location 11321 NE 99th Ave Ste 100Portland, OR 97220-9437 · Phone (503) 893-6670

Other Identifiers 1

Medicaid287272OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Todd V Wise Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921131616
PECOS Enrollment IDI20230721003417
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38116 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
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Pharmacist
1056 E RAINES RD
MEMPHIS, TN 38116
Registered Nurse
1056 E RAINES RD
MEMPHIS, TN 38116
Family Medicine
1056 E RAINES RD
MEMPHIS, TN 38116
Podiatrist (Foot & Ankle Surgery)
1056 E RAINES RD
MEMPHIS, TN 38116
Dietitian, Registered
1056 E RAINES RD
MEMPHIS, TN 38116
Internal Medicine
1056 E RAINES RD
MEMPHIS, TN 38116
Internal Medicine
1056 E RAINES RD
MEMPHIS, TN 38116
Nurse Practitioner
1056 E RAINES RD
MEMPHIS, TN 38116

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 Todd Wise's NPI number?

The NPI number for Todd Wise is 1790740892. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Todd Wise located?

Todd Wise practices at 1056 E Raines Rd, Memphis, TN 38116. The listed phone number is (901) 300-5777.

What is Todd Wise's specialty?

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

Is Todd Wise enrolled in Medicare?

Yes. Todd Wise is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Todd Wise was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.