DOMINICK R TOULOUSE MD
NPI 1043392046
Internal Medicine in Renton, WA
NPI Status: Active since October 19, 2006
Contact Information
4011 TALBOT RD S
SUITE 440
RENTON, WA
ZIP 98055
Phone: (425) 793-4702
Fax: (425) 271-5382
- Individual
- Male
- Internal Medicine
- Accepts Insurance
- Medicare Quality Reporting
About DOMINICK TOULOUSE
This page provides the complete NPI Profile along with additional information for Dominick Toulouse, an internist established in Renton, Washington with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1043392046 assigned on October 2006. The practitioner's primary taxonomy code is 207R00000X with license number M000020685 (WA). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1043392046
- Provider Name
- DOMINICK R TOULOUSE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4011 TALBOT RD S SUITE 440 RENTON, WA 98055
- Location Phone
- (425) 793-4702
- Location Fax
- (425) 271-5382
- Mailing Address
- 4011 TALBOT RD S STE 440 RENTON, WA 98055
- Mailing Phone
- (425) 793-4702
- Mailing Fax
- (425) 271-5382
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-19-2006
- Last Update Date
- 06-09-2017
- Code Navigator
An internist like Dominick Toulouse 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.
- M000020685
- License State
- WA
- 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:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
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 |
|---|---|---|---|
| 1289305 | MEDICAID (05) | WA | |
| 217115405 | MEDICARE PIN (08) | WA | |
| A05805 | MEDICARE UPIN (02) | ||
| 110131431 | OTHER (01) | WA | RR MEDICARE |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Colorectal Cancer Screening | 74% | 140 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Diabetes: Eye Exam | 31% | 32 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 30% | 251 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
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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. | |||||||||
| 1 | 0 | 4 | 3 | 3 | 9 | 2 | 0 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 6 | 9 | 4 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 6 + 9 + 4 + 0 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1043392046 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528061694 | GUY V BUELL M.D. Individual | Specialist | 4011 TALBOT RD S STE 440 RENTON, WA 98055 (425) 251-3455 |
| 1285633255 | GREGORY K PARKER PA-C Individual | Physician Assistant (Surgical) | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5050 |
| 1457346520 | DAVID M CHRISTOPHER MD Individual | Pediatrics (Adolescent Medicine) | 4011 TALBOT RD S SUITE 220 RENTON, WA 98055 (425) 656-5300 |
| 1497740575 | MICHAEL R ANDERSON MD Individual | Pediatrics (Adolescent Medicine) | 4011 TALBOT RD S #220 RENTON, WA 98055 (425) 656-5300 |
| 1447245519 | MONICA RICHTER MD Individual | Pediatrics (Adolescent Medicine) | 4011 TALBOT RD S SUITE 220 RENTON, WA 98055 (425) 656-5300 |
| 1356336424 | GARY H GERMAN MD Individual | Pediatrics (Adolescent Medicine) | 4011 TALBOT RD S RENTON, WA 98055 (425) 656-5300 |
| 1174518245 | GRACIELA DEL RIO MD Individual | Pediatrics (Adolescent Medicine) | 4011 TALBOT RD S RENTON, WA 98055 (425) 656-5300 |
| 1962473918 | DR. MICHAEL DOUGLAS ALLISON MD Individual | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
| 1942271994 | DR. CRAIG THOMAS ARNTZ MD Individual | Orthopaedic Surgery (Hand Surgery) | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
| 1831160886 | DR. BENJAMIN DANIEL CHILCZUK MD Individual | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
| 1972572469 | DR. FREDRICK S HUANG M.D. Individual | Orthopaedic Surgery | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
| 1154390318 | DR. JOHN M HENDRICKSON M.D. Individual | Orthopaedic Surgery | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
| 1114986320 | DR. MARK C REMINGTON M.D. Individual | Orthopaedic Surgery | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
| 1538129267 | DR. ROBERT G VEITH M.D. Individual | Orthopaedic Surgery | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
| 1134189855 | DR. JASON H THOMPSON M.D. Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
| 1700843976 | DR. PAUL NORMAN JOOS M.D. Individual | Specialist | 4011 TALBOT RD S #210 RENTON, WA 98055 (425) 255-4250 |
| 1295793792 | DR. PETER GAYLORD JONES M.D. Individual | Specialist | 4011 TALBOT RD S #210 RENTON, WA 98055 (425) 255-4250 |
| 1548214984 | DR. SUSAN R. CERO M.D. Individual | Orthopaedic Surgery | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
| 1801840244 | DR. MARTIN S. TULLUS M.D. Individual | Orthopaedic Surgery | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
| 1104873884 | PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY Organization | Surgery | 4011 TALBOT RD S SUITE 420 RENTON, WA 98055 (425) 251-1322 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043392046, enumerated in the NPI registry as an "individual" on October 19, 2006
The provider is located at 4011 Talbot Rd S Suite 440 Renton, Wa 98055 and the phone number is (425) 793-4702
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: PacificSource Health Plans, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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