Active NPI
Robert J Berkompas, M.D.
- Internal Medicine Physician
- Nashville, TN
National Provider Identifier
1174560312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17891
- 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, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10074030 | Other | TX | AMERIGROUP-TENNCARE |
| 12075822 | Other | TX | MULTIPLAN/PHCS |
| 633770 | Other | TN | USA MANAGED CARE |
| 1058203 | Other | TN | COVENTRY |
| Q006395 | Medicaid | TN | |
| 1100342182 | Other | TN | USA PPO-GEHA |
| 110217706 | Other | TN | MEDICARE RR |
| 3482983 | Other | TN | CIGNA |
| 64796691 | Medicaid | KY | |
| 3164293 | Other | TN | BLUE CROSS OF TN |
| 798071 | Other | TN | UNITED HEALTHCARE |
| 4113407 | Other | TN | AETNA |
| 1506399 | Medicaid | TN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.