Active NPI
Henry Ki Paik, M.D.
- Gastroenterology Physician
- Chattanooga, TN
National Provider Identifier
1194789149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 27599
- Practice address
- 2341 McCallie Ave
Plaza III, Suite 406
Chattanooga, TN 37404-3239 - Phone
- (423) 648-8204
- Fax
- (423) 648-8205
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 27599 | TN | Primary |
Addresses
Primary practice location
2341 McCallie Ave
Plaza III, Suite 406
Chattanooga, TN 37404-3239
Mailing address
2341 McCallie Ave
Plaza III, Suite 406
Chattanooga, TN 37404-3239
Phone (423) 648-8204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q005855 | Medicaid | TN | |
| TN 27599 | Other | TN | TN MEDICAL LICENSE NUMBER |
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 |
|---|---|---|---|---|
| I20041214000849 | TN | Practitioner - Gastroenterology | 9830002575 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Boston University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2341 McCallie Ave
Chattanooga, TN 37404-3227
2341 McCallie Ave
Chattanooga, TN 37404-3239
Phone (423) 648-8204
Hospital & facility affiliations
- Parkridge Medical Center
- Memorial Healthcare System, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 25.47 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 84.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 182 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 173 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation, Inc | Past | Accepting new patients | |
| Chattanooga Diagnostic Associates LLC | Past | Accepting new patients | |
| Chattanooga Gastroenterology, PC | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1679772099
-
- Gastroenterology Physician
- Chattanooga, TN
- NPI 1124024534
Gastroenterology
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1194789149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2341 MCCALLIE AVE",
"address_2": "PLAZA III, SUITE 406",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043239",
"telephone_number": "423-648-8204",
"fax_number": "423-648-8205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2341 MCCALLIE AVE",
"address_2": "PLAZA III, SUITE 406",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043239",
"telephone_number": "423-648-8204",
"fax_number": "423-648-8205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIK",
"first_name": "HENRY",
"middle_name": "KI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "27599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q005855",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN MEDICAL LICENSE NUMBER",
"identifier": "TN 27599",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.