Individual provider Active NPI

Kevin T Hogan

  • Emergency Medicine Physician
  • Nashville, TN
National Provider Identifier
1063831097
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
55987 Issued in TN
Practice address
1818 Albion St
Nashville, TN 37208
Phone
(615) 341-4000
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 24212 MS
Emergency Medicine Physician 207P00000X 207853 LA
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 55987 TN Primary

Addresses

Primary practice location

1818 Albion St
Nashville, TN 37208

Mailing address

3516 Hillsdale Ave
Nashville, TN 37205-2310
Phone (315) 277-0458

Other practice location 1

6929 Commerce Cir Apt 9201
Baton Rouge, LA 70809-1894
Phone (315) 277-0458

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
I20170809001781 TN Practitioner - Emergency Medicine 1254633407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Toledo Medical College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1818 Albion St
Nashville, TN 37208-2918
Phone (615) 341-4000

9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207853LAMDEmergency Medicine Physician
24212MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Creek Emergency Group, PC Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Metropolitan Hospital Authority CurrentSince May 1, 2024 Accepting new patients
Hospital Based Medical Services of Tennessee-I PC Emergency Medicine Past Accepting new patients

Locations

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000

1818 Albion St
Ste 650
Nashville, TN 37208

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1063831097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 HILLSDALE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052310",
            "telephone_number": "315-277-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 ALBION ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37208",
            "telephone_number": "615-341-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6929 Commerce Cir Apt 9201",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708091894",
            "country_code": "US",
            "telephone_number": "315-277-0458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "KEVIN",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "24212",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "207853",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "55987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.