Individual provider Active NPI

Anthony Crumel Disher, M.D.

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1104804145
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
16141 Issued in TN
Practice address
210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone
(615) 312-0600
Fax
(615) 320-3259
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 16141 TN Primary

Addresses

Primary practice location

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620

Mailing address

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

Other identifiers 1

IdentifierTypeStateIssuer
Q020422MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mmc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040921000490 TN Practitioner - Diagnostic Radiology 5193793800 Reassigns benefits to 5 organizations
I20210701002336 KY Practitioner - Diagnostic Radiology 5193793800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Meharry Medical College School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Practice addresses (Care Compare)

1801 Ashley Cir
Bowling Green, KY 42104-3362
Phone (615) 312-0600

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

2605 Cody Cir
Franklin, TN 37064-1157
Phone (615) 312-0600

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
  • Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16141TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lebanon Pet Scan Center, LLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Tennessee Oncology,PLLC CurrentSince Feb 6, 2025 Accepting new patients
Imaging Alliance Nashville Pet LLC CurrentSince Jan 1, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Meharry Medical College CurrentSince Jul 15, 2004 Accepting new patients
Tennessee Oncology PLLC Diagnostic Radiology CurrentSince Feb 6, 2025 Accepting new patients
Radiology Alliance CT Diagnostic Radiology Past Accepting new patients
Tennessee Oncology,PLLC Diagnostic Radiology Past Accepting new patients
Tennessee Oncology, PLLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 33)

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

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

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387

1160 Forest Retreat Rd
Hendersonville, TN 37075
Phone (615) 338-2000

201 N Anderson Ln
Ste 100LAN
Hendersonvlle, TN 37075

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

103 Physicians Way
Ste 100
Lebanon, TN 37090
Phone (615) 443-7436

500 Hospital Dr
Madison, TN 37115
Phone (615) 865-0300

4220 Harding Pike
Ste 101
Nashville, TN 37205
Phone (615) 354-1255

330 23rd Ave N
Ste 200
Nashville, TN 37203

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

1005 Dr Db Todd Jr Blvd
Nashville, TN 37208
Phone (615) 327-6000

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

2201 Murphy Ave
Ste 203
Nashville, TN 37203
Phone (615) 270-8060

2221 Murphy Ave
Nashville, TN 37203
Phone (615) 324-2192

Organizations & group practices 10

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1104804145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISHER",
        "first_name": "ANTHONY",
        "middle_name": "CRUMEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "16141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020422",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mmc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1005 Dr D B Todd Blvd",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.