Individual provider Active NPI

Selcuk A Tombul, DO

  • Cardiovascular Disease Physician
  • Chattanooga, TN
National Provider Identifier
1174573653
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1907 Issued in TN
Practice address
2341 McCallie Ave
Plaza III, Suite 200
Chattanooga, TN 37404-3239
Phone
(423) 629-4106
Fax
(423) 629-4116
NPI assigned
May 12, 2006
Last updated
Apr 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS-054898 FL
Internal Medicine Physician 207R00000X 1907 TN
Cardiovascular Disease Physician 207RC0000X OS054898 FL
Cardiovascular Disease Physician 207RC0000X 1907 TN Primary

Addresses

Primary practice location

2341 McCallie Ave
Plaza III, Suite 200
Chattanooga, TN 37404-3239

Mailing address

2341 McCallie Ave
Plaza III, Suite 200
Chattanooga, TN 37404-3239
Phone (423) 629-4106

Other identifiers 2

IdentifierTypeStateIssuer
46778OtherFLBLUE CROSS BLUE SHIELD
762778785AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080304000900 TN Practitioner - Cardiovascular Disease (Cardiology) 1658456421 Reassigns benefits to 2 organizations
I20080430000293 GA Practitioner - Cardiovascular Disease (Cardiology) 1658456421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York College of Osteo Medicine of New York Institute of Technology, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Physicians Practice LLCGroup PAC ID 2163490319, 33 clinicians

Practice addresses (Care Compare)

711 Cook Dr
Suite 220
Athens, TN 37303-3486
Phone (423) 381-8478

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
32.14 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
80.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1907TNMDMarriage & Family Therapist
OS-054898FLMDInternal Medicine Physician
OS054898FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Heart and Rhythm Center Cardiovascular Disease CurrentSince Aug 15, 2022 Accepting new patients
Healthforce Corporation CurrentSince Nov 3, 2019 Accepting new patients
Diagnostic Cardiology Group Cardiovascular Disease CurrentSince May 1, 2008 Accepting new patients
Athens Physicians Practice LLC CurrentSince Oct 1, 2024 Accepting new patients
Athens Physicians Practice, LLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Phoenix Cardiovascular Institute LLC Cardiovascular Disease Past Accepting new patients
Radiology Alliance PC Past Accepting new patients

Locations

102 Gross Crescent Cir
Ste 205
Ft Oglethorpe, GA 30742
Phone (706) 858-1195

132 Battlefield Crossing Ct
Ringgold, GA 30736
Phone (706) 858-3988

132 Battlefield Crossing Ct
#C
Ringgold, GA 30736
Phone (706) 858-3988

711 Cook Dr
Ste 220
Athens, TN 37303
Phone (423) 381-8478

719 Cook Dr
Ste 104
Athens, TN 37303
Phone (423) 745-9770

2341 McCallie Ave
Ste 200
Chattanooga, TN 37404
Phone (423) 622-2337

5726 Marlin Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 682-8100

5751 Uptain Rd
Ste 100
Chattanooga, TN 37411
Phone (423) 855-8406

601 Dodds Ave
Chattanooga, TN 37404
Phone (423) 629-9783

872 Highway 411 N
Unit G
Etowah, TN 37331
Phone (423) 744-7585

5000 Alpha Ln
Hixson, TN 37343
Phone (423) 870-1662

Interoperability endpoints

  • Direct secure messaging: selcuk.tombul.1@19363.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1174573653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVE",
            "address_2": "PLAZA III, SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043239",
            "telephone_number": "423-629-4106",
            "fax_number": "423-629-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVE",
            "address_2": "PLAZA III, SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043239",
            "telephone_number": "423-629-4106",
            "fax_number": "423-629-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBUL",
        "first_name": "SELCUK",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS-054898",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "1907",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS054898",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "1907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "46778",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "762778785A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.