Individual provider Active NPI

Paschal Ike, M.D.

  • Psychiatry Physician
  • Nashville, TN
National Provider Identifier
1164979936
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
62423 Issued in TN
Practice address
275 Cumberland BND
Nashville, TN 37228-1805
Phone
(866) 816-0433
NPI assigned
Sep 8, 2016
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 62423 TN Primary

Addresses

Primary practice location

275 Cumberland BND
Nashville, TN 37228-1805

Mailing address

275 Cumberland BND
Nashville, TN 37228-1805
Phone (615) 726-3340

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
I20201216001286 TN Practitioner - Psychiatry 4486066487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Tennessee-Western Mental Health InstituteGroup PAC ID 3072557941, 4 clinicians
State of TennesseeGroup PAC ID 5698687077, 21 clinicians

Practice addresses (Care Compare)

11100 Hwy 64
Bolivar, TN 38008-1554
Phone (731) 228-0772

951 Court Ave
Memphis, TN 38103-2813
Phone (901) 577-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62423TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee CurrentSince Sep 22, 2021 Accepting new patients
State of Tennessee State F & a Payroll CurrentSince Sep 22, 2021 Accepting new patients
State of Tennessee Current Accepting new patients
State of Tennessee-Western Mental Health Institute CurrentSince Nov 24, 2020 Accepting new patients
Eki Medical Transportation Current Accepting new patients

Locations

11100 Highway 64
Bolivar, TN 38008
Phone (731) 228-0772

951 Court Ave
Memphis, TN 38103
Phone (901) 577-1800

500 Deaderick St
Bldg 6TH
Nashville, TN 37242

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1164979936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CUMBERLAND BND",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281805",
            "telephone_number": "615-726-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CUMBERLAND BND",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281805",
            "telephone_number": "866-816-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKE",
        "first_name": "PASCHAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-08",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "62423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.