Individual provider Active NPI

Pascal A. Dauphin, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Hendersonville, TN
National Provider Identifier
1154324325
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
38238 Issued in TN
Practice address
125A Haven St
Hendersonville, TN 37075-3622
Phone
(615) 499-4545
NPI assigned
May 23, 2005
Reactivated
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A75709 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 38238 TN Primary

Addresses

Primary practice location

125A Haven St
Hendersonville, TN 37075-3622

Mailing address

107 Glen Oak Blvd Ste 201B
Hendersonville, TN 37075-3000
Phone (615) 499-4545

Other practice location 1

107 Glen Oak Blvd Ste 201B
Hendersonville, TN 37075-3000
Phone (615) 499-4545

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
I20040701000477 TN Practitioner - EndocrinologyPractitioner - Internal Medicine 8123005865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

107 Glen Oak Blvd
Suite 201B
Hendersonville, TN 37075-3000
Phone (615) 499-4545

125 A Haven St
Hendersonville, TN 37075-3622
Phone (615) 499-4545

3443 Dickerson Pike
Suite 400
Nashville, TN 37207-2524
Phone (615) 612-2146

355 New Shackle Island Rd
Suite 123B
Hendersonville, TN 37075-2479
Phone (615) 761-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75709CAMDEndocrinology, Diabetes & Metabolism Physician
38238TNMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Mar 15, 2015 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Mar 15, 2015 Accepting new patients
The Metabolic Group Endocrinology, Diabetes & Metabolism PastSince Jul 1, 2004 Accepting new patients

Locations

125A Haven St
Hendersonville, TN 37075
Phone (615) 499-4545

200 N Anderson Ln
Ste 106
Hendersonville, TN 37075
Phone (615) 499-4545

107 Glen Oak Blvd
Ste 201B
Hendersonville, TN 37075
Phone (615) 499-4545

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: pascal.dauphin@ahp.eclinicaldirectplus.com

Organizations & group practices 3

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1154324325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GLEN OAK BLVD STE 201B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753000",
            "telephone_number": "615-499-4545",
            "fax_number": "615-499-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125A HAVEN ST",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753622",
            "telephone_number": "615-499-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Glen Oak Blvd Ste 201B",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370753000",
            "country_code": "US",
            "telephone_number": "615-499-4545",
            "fax_number": "615-499-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUPHIN",
        "first_name": "PASCAL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A75709",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TN",
            "license": "38238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.