Odette Abou Ghanem, M.D.
Individual provider Active NPI Plastic and Reconstructive Surgery Physician · Nashville, TN
NPI 1154050227 · NPPES record last updated Nov 7, 2025
Key facts
- NPI
- 1154050227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License
- 74657 (TN)
- Practice address
- 3601 The Vanderbilt Clinic
Nashville, TN 37232-0001 - Phone
- (615) 875-8618
- NPI assigned
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vanderbilt University Medical Center
Practice addresses (Care Compare)
1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000
Hospital & facility affiliations
- Vanderbilt University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240912004001 | MD | Practitioner - Plastic and Reconstructive Surgery | 9032659305 | Reassigns benefits to 1 organization |
| I20251111003087 | TN | Practitioner - Plastic and Reconstructive Surgery | 9032659305 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0101566 | MD | MD | Plastic and Reconstructive Surgery Physician |
| 74657 | TN | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current |
Accepting new patients | |
| Johns Hopkins University | Current |
Accepting new patients | |
| Vanderbilt University Medical Center | Current |
Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Vanderbilt University | Past | Accepting new patients |
Locations
Dept A T 40379
Atlanta, GA 31192
1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037
600 N Wolfe St
Baltimore, MD 21287
6201 Greenleigh Ave
Fl 2
Middle River, MD 21220
Phone (410) 933-2704
1301 Medical Center Dr
Nashville, TN 37232
Phone (615) 343-4882
3841 Green Hills Village Dr
Nashville, TN 37215
Phone (615) 322-7127
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
Interoperability endpoints
- oaboughanem719951@direct.vumc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 74657 | TN | Yes |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | D0101566 | MD |
Addresses
Primary practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-0001
Mailing address
3841 Green Hills Village Dr
Nashville, TN 37215-2691
Phone (615) 322-6842
Other practice location 1
1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-8893
Other practice location 2
1611 21st Avenue South VUMC department of plastic surge
D-4207A Medical Center North
Nashville, TN 37232
Phone (615) 936-3574
Other providers in Nashville, TN
- Rebecca Abner
- Abnoos Transport LLC
- Ginger Lynn Abolins
- Kristyn Abood Vicente
- Yara Aboshady
- Bassel Abou-Khalil
- Rima Abou-Khalil
- Above and Beyond Healthcare, PLLC
- Above and Beyond Residential Living, Inc
- Samantha Orbke Abplanalp
All providers in Nashville, TN · Plastic and Reconstructive Surgery Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.