Individual provider Active NPI

Ebele Mary-Anne Umeukeje, M.D.

  • Nephrology Physician
  • Nashville, TN
National Provider Identifier
1255579652
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
47016 Issued in TN
Practice address
1161 21St Ave S
MCN Suite S-3223
Nashville, TN 37232-0011
Phone
(615) 343-6105
NPI assigned
Jan 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 47016 TN Primary
Internal Medicine Physician 207R00000X MD47016 TN

Addresses

Primary practice location

1161 21St Ave S
MCN Suite S-3223
Nashville, TN 37232-0011

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 322-3000

Other names 1

  • Dr. Ebele Mary-Anne Achebe Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eumeukeje35054@direct.vumc.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111018000349 TN Practitioner - NephrologyPractitioner - Internal Medicine 4385816396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TN LLCGroup PAC ID 2365807633, 266 clinicians
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians

Practice addresses (Care Compare)

111 Hwy 70 E
Tristar Horizon Medical Center
Dickson, TN 37055-2080
Phone (615) 446-0446

1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

Hospital & facility affiliations

  • Vanderbilt Dialysis Clinic Dialysis facility, Nashville, TN, CCN 442583
  • Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039
  • Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227
  • Tristar Horizon Medical Center Hospital, Dickson, TN, CCN 440046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD47016TNMDInternal Medicine Physician
47016TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of TN, LLC CurrentSince Apr 1, 2023 Accepting new patients
Vanderbilt University Medical Center Internal Medicine CurrentSince Apr 30, 2016 Accepting new patients
Apogee Medical Group Tennessee PC Internal Medicine CurrentSince Sep 9, 2011 Accepting new patients
Cookeville Regional Medical Group, Inc CurrentSince Jul 21, 2012 Accepting new patients
Cookeville Regional Medical Center PastSince Jul 21, 2012 Accepting new patients
Vanderbilt University Past Accepting new patients

Locations

Dept AT 40379
Atlanta, GA 31192

Dept A T 40379
Atlanta, GA 31192

100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901

228 W 4th St
Ste 301
Cookeville, TN 38501
Phone (931) 526-4349

1 Medical Center Blvd
Ste 103
Cookeville, TN 38501
Phone (931) 783-2770

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

2300 Patterson St
#M
Nashville, TN 37203

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1255579652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-322-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 21ST AVE S",
            "address_2": "MCN SUITE S-3223",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320011",
            "telephone_number": "615-343-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMEUKEJE",
        "first_name": "EBELE",
        "middle_name": "MARY-ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "47016",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD47016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eumeukeje35054@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "1161 21st Ave S",
            "address_2": "MCN Suite S-3223",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372320011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EBELE",
            "last_name": "ACHEBE",
            "middle_name": "MARY-ANNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.