Individual provider Active NPI

Joseph Ozenne, M.D.

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1083622575
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000031405 Issued in TN
Practice address
530 Great Circle Rd
Nashville, TN 37228-1309
Phone
(773) 292-4800
Fax
(312) 564-4059
NPI assigned
Aug 3, 2006
Last updated
Aug 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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 MD0000031405 TN Primary
Hospitalist Physician 208M00000X 31405 TN

Addresses

Primary practice location

530 Great Circle Rd
Nashville, TN 37228-1309

Mailing address

1340 S Damen Ave Ste 400
Chicago, IL 60608-1169
Phone (773) 292-4800

Other identifiers 3

IdentifierTypeStateIssuer
3855953MedicaidTN
4051226OtherTNTENNCARE
4051226OtherTNBLUE CROSS BLUE SHIELD

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
I20040219000806 TN Practitioner - Internal Medicine 3072408855 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
East Tennessee State University Quillen College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians
Abode Care Partners LTC VB LLCGroup PAC ID 8325316516, 81 clinicians

Practice addresses (Care Compare)

482 Interstate Dr
Suite a
Manchester, TN 37355-3109
Phone (931) 728-4718

919 Medical Park Dr
Mountain City, TN 37683-1042
Phone (423) 727-7800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000031405TNMDInternal Medicine Physician
31405TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abode Care Partners Al VB, LLC CurrentSince Sep 11, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Sep 11, 2024 Accepting new patients
Cogent Healthcare of Tennessee, PC Internal Medicine CurrentSince Jan 12, 2019 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Sep 11, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Sep 11, 2024 Accepting new patients
Portland Primary Care, LLC Past Accepting new patients
LP Westmoreland LLC Past Accepting new patients
Inpatient Consultants of Tennessee, P.C. Internal Medicine Past Accepting new patients
LP Portland, LLC Past Accepting new patients
Portland Primary Care LLC Internal Medicine PastSince Aug 7, 2018 Accepting new patients
WSD Consultants, LLC Internal Medicine Past Accepting new patients
Centennial Surgical Clinic, LLC Past Accepting new patients

Locations

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

410 W Crawford Ave
Monterey, TN 38574
Phone (931) 537-6524

919 Medical Park Dr
Mountain City, TN 37683
Phone (423) 727-7800

215 Highland Circle Dr
Portland, TN 37148
Phone (615) 325-9263

1559 New Highway 52 E
Westmoreland, TN 37186
Phone (615) 644-5111

Interoperability endpoints

  • Direct secure messaging: joseph.ozenne.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 13

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.

View all 13

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1083622575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S DAMEN AVE STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081169",
            "telephone_number": "773-292-4800",
            "fax_number": "312-564-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 GREAT CIRCLE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281309",
            "telephone_number": "773-292-4800",
            "fax_number": "312-564-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZENNE",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000031405",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "31405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3855953",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE",
            "identifier": "4051226",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4051226",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.