Individual provider Active NPI

Gleb Medvedev, M.D.

  • Orthopaedic Hand Surgery Physician
  • Nashville, TN
National Provider Identifier
1114217858
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
71872 Issued in TN
Practice address
394 Harding PL Ste 200
Nashville, TN 37211-3980
Phone
(615) 834-4482
NPI assigned
Apr 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 71872 TN
Orthopaedic Hand Surgery Physician 207XS0106X 71872 TN Primary

Addresses

Primary practice location

394 Harding PL Ste 200
Nashville, TN 37211-3980

Mailing address

PO Box 370
Fortson, GA 31808-0370
Phone (706) 494-3071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TN2 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
I20170925003197 LA Practitioner - Orthopedic Surgery 8628356417 Reassigns benefits to 1 organization
I20240807001271 TN Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 8628356417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Tulane University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

394 Harding PL
Suite 200
Nashville, TN 37211-3980
Phone (615) 834-4482

980 Professional Park Dr
Clarksville, TN 37040-5251
Phone (931) 221-9967

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)17
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedics & Sports Medicine PLC Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients
Premier Orthopaedics & Sports Medicine, PLC Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2017 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2017 Accepting new patients

Locations

4224 Houma Blvd
Ste 270
Metairie, LA 70006
Phone (504) 456-8013

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

7030 Canal Blvd
Ste 110
New Orleans, LA 70124
Phone (504) 456-5152

2000 Canal St
Fl Fourth
New Orleans, LA 70112

1430 Tulane Ave
#8632
New Orleans, LA 70112
Phone (504) 988-5192

1415 Tulane Ave
Fl 4
New Orleans, LA 70112
Phone (504) 988-5263

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

9160 Carothers Pkwy
Ste 100
Franklin, TN 37067
Phone (615) 446-1915

100 Covey Dr
Ste 103
Franklin, TN 37067
Phone (615) 550-8500

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

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

394 Harding Pl
Ste 100
Nashville, TN 37211
Phone (615) 234-0460

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

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

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

300 Stonecrest Blvd
Ste 200
Smyrna, TN 37167
Phone (615) 220-4747

545 Stonecrest Pkwy
Smyrna, TN 37167
Phone (615) 220-3720

100 Northcrest Dr
Bldg 200
Springfield, TN 37172

Interoperability endpoints

  • Direct secure messaging: gleb.medvedev.1@321.direct.athenahealth.com

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 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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1114217858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "706-494-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 HARDING PL STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113980",
            "telephone_number": "615-834-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDVEDEV",
        "first_name": "GLEB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "71872",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TN",
            "license": "71872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.