Individual provider Active NPI

Paul Allen Rosenblatt, M.D.

  • Therapeutic Radiology Physician
  • Nashville, TN
National Provider Identifier
1003905969
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
MD0000011643 Issued in TN
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

Updated by the provider on Jun 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3196796MedicaidTN
3079627OtherTNBC/BS OF TENNESSEE
64720105MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080130000113 TN Practitioner - Radiation Oncology 4981786977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11643TNMDDentist
MD0000011643TNMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology,PLLC Therapeutic Radiology CurrentSince Jan 1, 2008 Accepting new patients
Tennessee Oncology PLLC CurrentSince Jan 1, 2008 Accepting new patients
Tennessee Oncology PLLC PastSince Mar 5, 2023 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.

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

Verify at the official NPI Registry.