Active NPI
Paul Allen Rosenblatt, M.D.
- Therapeutic Radiology Physician
- Nashville, TN
National Provider Identifier
1003905969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Therapeutic Radiology Physician
- License
- MD0000011643
- Practice address
- 4220 Harding Road
Rudy Cancer Center
Nashville, TN 37205-2005 - Phone
- (615) 222-6755
- Fax
- (615) 222-3567
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | MD0000011643 | TN | Primary |
Addresses
Primary practice location
4220 Harding Road
Rudy Cancer Center
Nashville, TN 37205-2005
Mailing address
PO Box 440261
Nashville, TN 37244-0261
Phone (615) 329-0570
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3196796 | Medicaid | TN | |
| 3079627 | Other | TN | BC/BS OF TENNESSEE |
| 64720105 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.71 of 100
- Promoting interoperability
- 89
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11643 | TN | MD | Dentist |
| MD0000011643 | TN | MD | Therapeutic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Oncology,PLLC | Therapeutic Radiology | Current | Accepting new patients |
| Tennessee Oncology PLLC | Current | Accepting new patients | |
| Tennessee Oncology PLLC | Past | Accepting new patients | |
| Radiation Oncology Associates | Past | Accepting new patients |
Locations
105 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900
4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1811955917
-
- Radiation Oncology Physician
- Nashville, TN
- NPI 1164595070
Therapeutic Radiology
-
- Radiation Oncology Physician
- Nashville, TN
- NPI 1700938685
-
- Radiation Oncology Clinic/Center
- Franklin, TN
- NPI 1942909585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1003905969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440261",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372440261",
"telephone_number": "615-329-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 HARDING ROAD",
"address_2": "RUDY CANCER CENTER",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052005",
"telephone_number": "615-222-6755",
"fax_number": "615-222-3567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBLATT",
"first_name": "PAUL",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "TN",
"license": "MD0000011643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3196796",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TENNESSEE",
"identifier": "3079627",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64720105",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.