Individual provider Active NPI

Hengameh Arab, P.A.

  • Medical Physician Assistant
  • Nashville, TN
National Provider Identifier
1043205362
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1014 Issued in TN
Practice address
8078 Highway 100
Nashville, TN 37221-4212
Phone
(615) 942-9810
Fax
(615) 942-9827
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1014 TN Primary

Addresses

Primary practice location

8078 Highway 100
Nashville, TN 37221-4212

Mailing address

8078 Highway 100
Nashville, TN 37221-4212
Phone (615) 942-9810

Other identifiers 3

IdentifierTypeStateIssuer
1139135OtherTNUSA/MCO
1517843MedicaidTN
4265869OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1014TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Chiropractic, LLC PastSince Mar 1, 2018 Accepting new patients
Hendersonville Spine and Pain Center, P.C. Past Accepting new patients
Agapee Surgical Associates Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1043205362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8078 HIGHWAY 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372214212",
            "telephone_number": "615-942-9810",
            "fax_number": "615-942-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8078 HIGHWAY 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372214212",
            "telephone_number": "615-942-9810",
            "fax_number": "615-942-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAB",
        "first_name": "HENGAMEH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA1014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA/MCO",
            "identifier": "1139135",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517843",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4265869",
            "state": "TN"
        }
    ],
    "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 Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.