Individual provider Active NPI

Robert J Berkompas, M.D.

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1174560312
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17891 Issued in TN
Practice address
4230 Harding Rd
Suite 400
Nashville, TN 37205-2013
Phone
(615) 297-2700
Fax
(615) 269-4584
NPI assigned
May 31, 2006
Last updated
Aug 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17891 TN Primary

Addresses

Primary practice location

4230 Harding Rd
Suite 400
Nashville, TN 37205-2013

Mailing address

104 Woodmont Blvd
Suite LL50
Nashville, TN 37205-2245
Phone (615) 386-2300

Other identifiers 13

IdentifierTypeStateIssuer
10074030OtherTXAMERIGROUP-TENNCARE
12075822OtherTXMULTIPLAN/PHCS
633770OtherTNUSA MANAGED CARE
1058203OtherTNCOVENTRY
Q006395MedicaidTN
1100342182OtherTNUSA PPO-GEHA
110217706OtherTNMEDICARE RR
3482983OtherTNCIGNA
64796691MedicaidKY
3164293OtherTNBLUE CROSS OF TN
798071OtherTNUNITED HEALTHCARE
4113407OtherTNAETNA
1506399MedicaidTN

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
I20100504000565 TN Practitioner - Internal Medicine 0648353243

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1174560312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD",
            "address_2": "SUITE LL50",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "615-386-2300",
            "fax_number": "615-386-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING RD",
            "address_2": "SUITE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052013",
            "telephone_number": "615-297-2700",
            "fax_number": "615-269-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOMPAS",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "17891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP-TENNCARE",
            "identifier": "10074030",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN/PHCS",
            "identifier": "12075822",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "633770",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "1058203",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006395",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA PPO-GEHA",
            "identifier": "1100342182",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "110217706",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3482983",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64796691",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TN",
            "identifier": "3164293",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "798071",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4113407",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506399",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.