Michael Tepedino, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD12735 Issued in TN

Practice address

1801 N Washington St
Suite 400
Tullahoma, TN 37388-8245

Phone

(931) 455-2201

Fax

(931) 455-8048

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vanderbilt Tullahoma-Harton Hospital Hospital, Tullahoma, TN, CCN 440144
• Unity Medical Center Hospital, Manchester, TN, CCN 440007
• Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039
• Lincoln Medical Center Hospital, Fayetteville, TN, CCN 440102

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coffee Medical Group LLC

  • Rural Acute Care Hospital
  • Manchester, TN
  • NPI 1013969179

  Hospital

  Care Compare affiliation
• HH Health System - Lincoln Inc

  • Rural Acute Care Hospital
  • Fayetteville, TN
  • NPI 1255066460

  Hospital

  Care Compare affiliation
• Vanderbilt Coffee Hospital, LLC

  • General Acute Care Hospital
  • Tullahoma, TN
  • NPI 1831798719

  Hospital

  Care Compare affiliation
• Vanderbilt University Medical Center

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1396882205

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1245288562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N WASHINGTON ST",
            "address_2": "SUITE 400",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888245",
            "telephone_number": "931-455-2201",
            "fax_number": "931-455-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N WASHINGTON ST",
            "address_2": "SUITE 400",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888245",
            "telephone_number": "931-455-2201",
            "fax_number": "931-455-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPEDINO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "MD12735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3180440",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tennessee Oncology
• Tennessee Oncology Pharmacy Dispensing
• Tennessee Oncology Pharmacy Dispensing
• Tennessee Oncology PLLC
• Tennessee Vascular and Thoracic Surgical Associates, PC
• Teresa Patterson MD
• Jasmine M Terrell, DNP, APRN, CPNP-PC
• Tiffany A Terrill, APN
• The Pediatric Center of Tullahoma, PC
• Thomas F Phelps MD

• All providers in Tullahoma, TN
• Urology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.

Verify at the official NPI Registry.