Individual provider Active NPI

Jonathan Andrew Hoda, M.D.

  • Cardiovascular Disease Physician
  • Hermitage, TN
National Provider Identifier
1053519785
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
53648 Issued in TN
Practice address
5651 Frist Blvd Ste 603
Hermitage, TN 37076-2079
Phone
(615) 889-1968
Fax
(615) 889-8527
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL30104 SC
Cardiovascular Disease Physician 207RC0000X 53648 TN Primary

Addresses

Primary practice location

5651 Frist Blvd Ste 603
Hermitage, TN 37076-2079

Mailing address

5651 Frist Blvd Ste 603
Hermitage, TN 37076-2079
Phone (615) 889-1968

Other identifiers 3

IdentifierTypeStateIssuer
301042MedicaidSC
P01356934OtherMSRAILROAD MEDICARE
07280861MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JONATHAN.HODA@hca1.eclinicaldirectplus.com

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
I20160330002075 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 8022205897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
University of Mississippi School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Heart LLC 121 clinicians

Practice addresses (Care Compare)

2400 Patterson St
Suite 103
Nashville, TN 37203-1577
Phone (615) 515-1900

5651 Frist Blvd
Suite 603
Hermitage, TN 37076-2079
Phone (615) 889-1968

5655 1St Blvd
Hermitage, TN 37076-2053
Phone (615) 889-8527

Hospital & facility affiliations

  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082

Merit-based Incentive Payment System (MIPS)

Final score
91.02 of 100Reported as individual
Quality
91.96
Promoting interoperability
99
Improvement activities
40
Cost
72.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting42
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL30104SCMDInternal Medicine Physician
53648TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Heart LLC Internal Medicine CurrentSince Mar 9, 2016 Accepting new patients
Reono Bertagnolli a Medical Group CurrentSince Jul 20, 2016 Accepting new patients
American Diagnostics Services LLC PastSince Mar 1, 2020 Accepting new patients
Community Mobile Ultrasound, LLC Past Accepting new patients
Saint Thomas Cardiology Consultants, PC Cardiovascular Disease Past Accepting new patients
Coastal Inpatient Physicians, LLC Internal Medicine Past Accepting new patients

Locations

2820 N Ontario St
Burbank, CA 91504
Phone (818) 480-9100

1310 Haviland Cir
Columbia, SC 29210
Phone (800) 940-3089

3223 Sunset Blvd
Ste 100
West Columbia, SC 29169
Phone (803) 542-6385

5651 Frist Blvd
Ste 603
Hermitage, TN 37076
Phone (615) 889-1968

2400 Patterson St
Ste 103
Nashville, TN 37203
Phone (615) 329-0929

2400 Patterson St
Ste 502
Nashville, TN 37203
Phone (615) 515-1968

300 Stonecrest Blvd
Ste 410
Smyrna, TN 37167
Phone (615) 220-6144

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1053519785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 603",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762079",
            "telephone_number": "615-889-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 603",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762079",
            "telephone_number": "615-889-1968",
            "fax_number": "615-889-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODA",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL30104",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "53648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301042",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01356934",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07280861",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JONATHAN.HODA@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5651 Frist Blvd Ste 603",
            "city": "Hermitage",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370762079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.