Individual provider Active NPI

Guillermo S Ludi, M.D.

  • Internal Medicine Physician
  • Gallatin, TN
National Provider Identifier
1124097126
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME36942 Issued in TN
Practice address
1720 Nashville Pike Ste 100
Gallatin, TN 37066-3154
Phone
(615) 230-8601
Fax
(615) 230-8670
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME36942 TN Primary

Addresses

Primary practice location

1720 Nashville Pike Ste 100
Gallatin, TN 37066-3154

Mailing address

1720 Nashville Pike Ste 100
Gallatin, TN 37066-3154
Phone (615) 230-8601

Other identifiers 3

IdentifierTypeStateIssuer
P00386111OtherTNRR MEDICARE
3879453MedicaidTN
P00721873OtherTNRR MEDICARE HENDERSONVILLE LOCATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GUILLERMO.LUDI@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
I20060728000313 TN Practitioner - Internal Medicine 2961415419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portland Primary Care, LLCGroup PAC ID 6305859851, 6 clinicians

Practice addresses (Care Compare)

1720 Nashville Pike
Suite 100
Gallatin, TN 37066-3154
Phone (615) 230-8601

355 New Shackle Island Rd
Hendersonville, TN 37075-2479
Phone (615) 325-1206

Hospital & facility affiliations

  • Highpoint Homecare Home health agency, Gallatin, TN, CCN 447487
  • NHC Homecare Springfield Home health agency, Springfield, TN, CCN 447276
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003
  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006

Merit-based Incentive Payment System (MIPS)

Final score
90.9 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
69.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME36942TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Primary Care LLC Internal Medicine CurrentSince Apr 1, 2006 Accepting new patients
Premier Hospitalist Associates, PLLC CurrentSince Feb 25, 2013 Accepting new patients
Hendersonville Hospitalist Services Inc Internal Medicine Past Accepting new patients
Portland Primary Care, LLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1720 Nashville Pike
Ste 100
Gallatin, TN 37066
Phone (615) 230-8601

355 New Shackle Island Rd
Fl 3
Hendersonvlle, TN 37075
Phone (615) 822-2214

102 Wessington Pl
Hendersonvlle, TN 37075
Phone (615) 418-2916

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

103 Redbud Dr
Ste E
Portland, TN 37148
Phone (615) 325-1206

Interoperability endpoints

  • Direct secure messaging: guillermo.ludi@hca1.eclinicaldirectplus.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 6

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1124097126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 NASHVILLE PIKE STE 100",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663154",
            "telephone_number": "615-230-8601",
            "fax_number": "615-230-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NASHVILLE PIKE STE 100",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663154",
            "telephone_number": "615-230-8601",
            "fax_number": "615-230-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDI",
        "first_name": "GUILLERMO",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "ME36942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00386111",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3879453",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE  HENDERSONVILLE LOCATION",
            "identifier": "P00721873",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GUILLERMO.LUDI@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "103 Redbud Dr",
            "address_2": "SUITE E",
            "city": "Portland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371481617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.