Samir Bangalore, MD

Primary specialty

Epilepsy PhysicianTaxonomy code 2084E0001X

License

68959 Issued in TN

Practice address

3443 Dickerson Pike Ste 580
Nashville, TN 37207-2526

Phone

(158) 601-0606

Fax

(158) 601-2426

NPI assigned

May 8, 2007

Last updated

Oct 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

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

Specialty

Neurology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skyline Neuroscience Associates LLCGroup PAC ID 6800845702, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
• Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
• Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
• Tristar Greenview Regional Hospital Hospital, Bowling Green, KY, CCN 180124
• Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227

Merit-based Incentive Payment System (MIPS)

Final score

93.72 of 100Reported as group

Quality

100

Promoting interoperability

98

Improvement activities

40

Cost

69.84

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samir.bangalore@hca1.eclinicaldirectplus.com

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.

• Skyline Neuroscience Associates, LLC

  dba Waukegan Clinic Corporation

  • Neurology Physician
  • Nashville, TN
  • NPI 1033154786
  Medicare reassignment Care Compare group NPD
• Sunrise Physician Services LLC

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1518931385
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Tennessee, Inc.

  dba Tristar Centennial Medical Center

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1023055126
  Care Compare affiliation
• HCA Health Services of Tennessee, Inc.

  dba TriStar StoneCrest Medical Center

  • General Acute Care Hospital
  • Smyrna, TN
  • NPI 1992776405
  Care Compare affiliation
• Hendersonville Hospital Corporation

  dba Tristar Hendersonville Medical Center

  • General Acute Care Hospital
  • Hendersonville, TN
  • NPI 1538114434
  Care Compare affiliation
• Hti Memorial Hospital Corporation

  dba Tristar Skyline Medical Center

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1295780476
  Care Compare affiliation
• Greenview Hospital, Inc.

  dba Tristar Greenview Regional Hospital

  • General Acute Care Hospital
  • Bowling Green, KY
  • NPI 1871547703
  Care Compare affiliation

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1043423874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 580",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072526",
            "telephone_number": "615-860-1040",
            "fax_number": "615-860-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 580",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072526",
            "telephone_number": "158-601-0606",
            "fax_number": "158-601-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGALORE",
        "first_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "12462",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "68959",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "TN",
            "license": "68959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043423874",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299316",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043423874",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043423874",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arna Banerjee, M.D.
• Ritu Banerjee, MD
• Caroline Tucker Banes, ACNP
• Harish Bangalore Siddaiah, M.D.
• Nandakumar Bangalore Vittal, MD
• Cassandra Gayle Bangerter
• Jacqueline Anna Bangura, DNP
• Lamin Shebora Bangura, MD
• Kalpana Baniya
• Tiffany Bankett, LMFT

• Epilepsy Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Epilepsy Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.

Verify at the official NPI Registry.