Individual provider Active NPI

Larry H Paul, MD

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1265463038
Registry record updated Nov 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
13389 Issued in TN
Practice address
210 25TH Ave N Ste 602
Nashville, TN 37203-1631
Phone
(615) 312-0600
Fax
(615) 320-3259
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 13389 TN Primary

Addresses

Primary practice location

210 25TH Ave N Ste 602
Nashville, TN 37203-1631

Mailing address

PO Box 3146
Indianapolis, IN 46206-3146
Phone (855) 206-8406

Other practice location 1

1710 Gunbarrel Rd
Chattanooga, TN 37421-3127
Phone (423) 553-1220

Other identifiers 6

IdentifierTypeStateIssuer
300064449OtherTNRR MCARE- CI
3031080OtherTNADR BC/BS OF TN
3049711OtherTNPLAZA BC/BS OF TN
009933182MedicaidAL
000257969MedicaidGA
300046228OtherTNRR MCARE-ADR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Diagnostic Radiology Inc Diagnostic Radiology Current Accepting new patients
Radcare of Tennessee PC Diagnostic Radiology Past Accepting new patients

Locations

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1710 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 309-9256

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541808000000",
    "number": "1265463038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3146",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063146",
            "telephone_number": "855-206-8406",
            "fax_number": "855-823-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 602",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031631",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Gunbarrel Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213127",
            "country_code": "US",
            "telephone_number": "423-553-1220",
            "fax_number": "423-553-1231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "LARRY",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2018-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "13389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE- CI",
            "identifier": "300064449",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADR BC/BS OF TN",
            "identifier": "3031080",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAZA BC/BS OF TN",
            "identifier": "3049711",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933182",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000257969",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE-ADR",
            "identifier": "300046228",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.