Individual provider Active NPI

Edward Chaum, MD PHD

  • Ophthalmology Physician
  • Nashville, TN
National Provider Identifier
1023075868
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
33959 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-5100
Phone
(615) 936-3000
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 36131567 IL
Retina Specialist (Ophthalmology) Physician 207WX0107X 45697 KY
Retina Specialist (Ophthalmology) Physician 207WX0107X 72251 MA
Retina Specialist (Ophthalmology) Physician 207WX0107X 4301102415 MI
Retina Specialist (Ophthalmology) Physician 207WX0107X 20602 MS
Retina Specialist (Ophthalmology) Physician 207WX0107X 46660 AZ
Retina Specialist (Ophthalmology) Physician 207WX0107X G89425 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X 52072 CO
Retina Specialist (Ophthalmology) Physician 207WX0107X 51992 CT
Retina Specialist (Ophthalmology) Physician 207WX0107X ME115227 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X 69779 GA
Retina Specialist (Ophthalmology) Physician 207WX0107X 266450 NY
Retina Specialist (Ophthalmology) Physician 207WX0107X 25MA09294800 NJ
Retina Specialist (Ophthalmology) Physician 207WX0107X MD448643 PA
Ophthalmology Physician 207W00000X 33959 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-5100

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 936-2000

Other identifiers 1

IdentifierTypeStateIssuer
Q003661MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address echaum393498@direct.vumc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NY, SC, TX, NJ, DC, NC7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20101116000133 TN Practitioner - OphthalmologyPractitioner - Obstetrics/Gynecology 6406898493
I20161121001836 NY Practitioner - Ophthalmology 6406898493 Reassigns benefits to 1 organization
I20161212000784 SC Practitioner - Ophthalmology 6406898493 Reassigns benefits to 3 organizations
I20211118001329 TX Practitioner - Ophthalmology 6406898493 Reassigns benefits to 1 organization
I20211118001522 NJ Practitioner - Ophthalmology 6406898493 Reassigns benefits to 1 organization
I20211118002100 DC Practitioner - Ophthalmology 6406898493 Reassigns benefits to 1 organization
I20211123001969 NC Practitioner - Ophthalmology 6406898493 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33959TNMDOphthalmology Physician
46660AZMDRetina Specialist (Ophthalmology) Physician
G89425CAMDRetina Specialist (Ophthalmology) Physician
52072COMDRetina Specialist (Ophthalmology) Physician
51992CTMDRetina Specialist (Ophthalmology) Physician
ME115227FLMDRetina Specialist (Ophthalmology) Physician
69779GAMDRetina Specialist (Ophthalmology) Physician
36131567ILMDRetina Specialist (Ophthalmology) Physician
45697KYMDRetina Specialist (Ophthalmology) Physician
72251MAMDRetina Specialist (Ophthalmology) Physician
4301102415MIMDRetina Specialist (Ophthalmology) Physician
MD448643PAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caresouth Carolina, Inc CurrentSince Jun 13, 2023 Accepting new patients
Low Country Health Care System, Inc. CurrentSince Nov 14, 2016 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Aug 14, 2021 Accepting new patients
Rimma Gelbert Medical PC CurrentSince Dec 26, 2016 Accepting new patients
Low Country Health Care System, Inc CurrentSince Nov 14, 2016 Accepting new patients
Little River Medical Center, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Little River Medical Center Inc CurrentSince Oct 1, 2016 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Aug 14, 2021 Accepting new patients
Low Country Health Care System, Inc Current Accepting new patients
Minuteclinic Diagnostic of North Carolina PC CurrentSince Aug 14, 2021 Accepting new patients
Caresouth Carolina, Inc. Current Accepting new patients
MC Medical Group of DC, PC CurrentSince Aug 14, 2021 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Ophthalmology CurrentSince Aug 14, 2021 Accepting new patients
Caresouth Carolina, Inc Past Accepting new patients
Vanderbilt University PastSince Mar 28, 2018 Accepting new patients
East Metro Family Medical Clinic PastSince Nov 14, 2006 Accepting new patients
Umass Memorial Medical Group Inc Past Accepting new patients

Locations

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

2797 NC 55 Hwy
Cary, NC 27519
Phone (919) 362-0381

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

86 Wren St
Barnwell, SC 29812
Phone (803) 259-5762

333 Revolutionary Trl
Fairfax, SC 29827
Phone (803) 632-2533

1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

737 S Main St
Society Hill, SC 29593
Phone (843) 378-3000

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

3500 W Slaughter Ln
Austin, TX 78749
Phone (512) 292-6832

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

Interoperability endpoints

  • Direct secure messaging: echaum393498@direct.vumc.org
  • FHIR API: https://api.platform.athenahealth.com/9272/brand/1/csg/1/fhir/r4

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1023075868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-936-2000",
            "fax_number": "615-936-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372325100",
            "telephone_number": "615-936-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUM",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "36131567",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KY",
            "license": "45697",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MA",
            "license": "72251",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301102415",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MS",
            "license": "20602",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "46660",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "G89425",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CO",
            "license": "52072",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CT",
            "license": "51992",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME115227",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "GA",
            "license": "69779",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "266450",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NJ",
            "license": "25MA09294800",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD448643",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "33959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q003661",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "echaum393498@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372325100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.