Organization Active NPI

Vanderbilt Imaging Services, LLC

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1144241985
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ODC0000000013 Issued in TN
Legal business name
VANDERBILT IMAGING SERVICES, LLC
Practice address
1909 Acklen Ave
Nashville, TN 37212-3713
Phone
(615) 777-9729
Fax
(615) 777-9733
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Karen Munyon
Title
Managing Employee
Phone
(615) 936-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X ODC0000000013 TN Primary

Addresses

Primary practice location

1909 Acklen Ave
Nashville, TN 37212-3713

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other names 1

  • Vanderbilt Imaging Services Hillsboro Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH, KY, PR, MI, MA, WA, NC, SC, AL, AZ, TX, LA, PA, FL, GA16 enrollments

Enrollment records 16

Enrollment IDStateProvider typePAC IDDetails
O20040420000724 TN Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 184 practitioners
Practice locations: Nashville, TN
O20251031000222 OH Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 5 practitioners
Practice locations: Canton, OH; Dublin, OH; Mason, OH; North Royalton, OH
O20251111003251 KY Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 2 practitioners
Practice locations: Lexington, KY; Prospect, KY
O20251113002934 PR Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR
O20251125000445 MI Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI
O20260209002140 MA Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 3 practitioners
Practice locations: Cambridge, MA; Chestnut Hill, MA; Hingham, MA
O20260211002772 WA Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 2 practitioners
Practice locations: Seattle, WA
O20260305003118 NC Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 2 practitioners
Practice locations: Greensboro, NC; Charlotte, NC
O20260316000522 SC Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 1 practitioner
Practice locations: Mt Pleasant, SC
O20260318001448 AL Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL
O20260319003205 AZ Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ
O20260331004502 TX Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 3 practitioners
Practice locations: Spring Branch, TX; Rockwall, TX; Houston, TX; Dallas, TX
O20260401003343 LA Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 1 practitioner
Practice locations: Mandeville, LA
O20260401003591 PA Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 1 practitioner
Practice locations: Smethport, PA
O20260407000069 FL Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL
O20260410000788 GA Part B Supplier - Clinic/Group Practice 2163417882 Receives reassigned benefits from 1 practitioner
Practice locations: Martinez, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1086653Vanderbilt Imaging Services, LLC1909 Acklen Ave, Nashville, TN 37212Certificate of waiverJul 15, 2028

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

1909 Acklen Ave
Nashville, TN 37212
Phone (615) 777-9729

2002 Richard Jones Rd
Ste B300
Nashville, TN 37215
Phone (615) 386-6200

337 22nd Ave N
Nashville, TN 37203
Phone (615) 327-1500

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 192

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 192

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1144241985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 ACKLEN AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123713",
            "telephone_number": "615-777-9729",
            "fax_number": "615-777-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT IMAGING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "MUNYON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "615-936-6001"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "ODC0000000013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanderbilt Imaging Services Hillsboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.