Organization Active NPI

National Tele-Nephrology Associates PC

  • Nephrology Physician
  • Nashville, TN
National Provider Identifier
1235596180
Registry record updated Jan 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NATIONAL TELE-NEPHROLOGY ASSOCIATES PC
Practice address
511 Union St
Ste 1800
Nashville, TN 37219-1733
Phone
(615) 467-0140
NPI assigned
Jan 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2016

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

Authorized official

Name
Dr. Jerome S Tannenbaum, MD, PHDNPI 1346485638
Title
Ceo
Phone
(615) 467-0140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

511 Union St
Ste 1800
Nashville, TN 37219-1733

Mailing address

511 Union St
Ste 1800
Nashville, TN 37219-1733
Phone (615) 467-0140

Other names 1

  • NTNA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160822000611 TN Part B Supplier - Clinic/Group Practice 5496040065 Receives reassigned benefits from 9 practitioners
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

4230 Harding Pike
Ste 205
Nashville, TN 37205
Phone (385) 278-5026

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453507200000",
    "number": "1235596180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 UNION ST",
            "address_2": "STE 1800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191733",
            "telephone_number": "615-467-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 UNION ST",
            "address_2": "STE 1800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191733",
            "telephone_number": "615-467-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL TELE-NEPHROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-23",
        "last_updated": "2016-01-23",
        "status": "A",
        "authorized_official_last_name": "TANNENBAUM",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-467-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NTNA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.