Individual provider Active NPI

Patricia Ann Tepper, M.D.

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1144283896
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
16577 Issued in AL
Practice address
210 25TH Ave N
Suite 602
Nashville, TN 37203
Phone
(615) 312-0122
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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 16577 AL Primary

Addresses

Primary practice location

210 25TH Ave N
Suite 602
Nashville, TN 37203

Mailing address

210 25TH Ave N
Suite 602
Nashville, TN 37203-1606
Phone (615) 312-0122

Other identifiers 6

IdentifierTypeStateIssuer
3822438OtherTNTSC
3822437OtherTNTNONC
64130073MedicaidKY
3791307OtherTNSMRI
1508967OtherTNIANP
3822436MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16577ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Surgical Clinic PLLC PastSince Mar 27, 2022 Accepting new patients
Brookwood Diagnostic Imaging Center, LLC Past Accepting new patients
Tennessee Oncology, PLLC Diagnostic Radiology Past Accepting new patients
Southlake Orthopaedics Sports Medicine and Spine Center, PC Past Accepting new patients
St. Vincent's Hospital Past Accepting new patients
Radiology Associates of Birmingham PC Diagnostic Radiology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1144283896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N",
            "address_2": "SUITE 602",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031606",
            "telephone_number": "615-312-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N",
            "address_2": "SUITE 602",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-312-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPER",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "16577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSC",
            "identifier": "3822438",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TNONC",
            "identifier": "3822437",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64130073",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMRI",
            "identifier": "3791307",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IANP",
            "identifier": "1508967",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3822436",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.