Johannes J Duplooy, MD
Individual provider Active NPI Internal Medicine Physician · Chattanooga, TN
NPI 1194767376 · NPPES record last updated Mar 8, 2010
Key facts
- NPI
- 1194767376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 34783 (TN)
- Practice address
- 605 Glenwood Dr
Suite 300
Chattanooga, TN 37404-1108 - Phone
- (423) 495-2690
- Fax
- (423) 495-2698
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Health Partners Foundation Inc
Practice addresses (Care Compare)
605 Glenwood Dr
Suite 300
Chattanooga, TN 37404-1144
Phone (423) 495-2690
Hospital & facility affiliations
- Commonspirit Health at Home - Chattanooga
- Memorial Healthcare System, Inc
- Erlanger Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040315000472 | TN | Practitioner - Internal Medicine | 8224927488 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34783 | TN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation Inc | Current |
Accepting new patients | |
| Memorial Health Partners Foundation, Inc | Internal Medicine | Current |
Accepting new patients |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Memorial Health Care System Inc. | Past | Accepting new patients |
Locations
605 Glenwood Dr
Ste 300
Chattanooga, TN 37404
Phone (423) 495-2620
3739 Hixson Pike
Chattanooga, TN 37415
Phone (423) 875-0999
5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586
2501 Citico Ave
Chattanooga, TN 37404
Phone (423) 697-2318
6800 Harrison Park Dr
Harrison, TN 37341
Phone (423) 344-7095
Interoperability endpoints
- johannesduplooy@tnmhpf.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34783 | TN | Yes |
| Hospitalist Physician | 208M00000X | 34783 | TN |
Addresses
Primary practice location
605 Glenwood Dr
Suite 300
Chattanooga, TN 37404-1108
Mailing address
605 Glenwood Dr
Suite 300
Chattanooga, TN 37404-1108
Phone (423) 495-2690
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053801146A | Medicaid | GA |
Other providers in Chattanooga, TN
- Thomas R. Dunn
- James C Dunning
- Elishia Dunson
- Jordan Riley Dunson
- Rebecca Lynn Dunston
- Karla Del Carmen Dupre
- Antoinette Dupree
- Elizabeth Kaye Dupree
- Kelsey Nicole Dupree
- Chad Joseph Dupuis
All providers in Chattanooga, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.