NPIMap

Organization Active NPI

Vanderbilt University Medical Center

  • General Acute Care Hospital
  • Nashville, TN
National Provider Identifier
1265833487
Registry record updated Sep 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
VANDERBILT UNIVERSITY MEDICAL CENTER
Practice address
1161 21St Ave S
MCN Aa1218
Nashville, TN 37232-0011
Phone
(615) 343-1465
NPI assigned
Sep 7, 2014
Last updated
Sep 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2014

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

Authorized official

Name
Michael Petracek, MD
Title
Chairman of Cardiac Surgery
Phone
(615) 343-7363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1161 21St Ave S
MCN Aa1218
Nashville, TN 37232-0011

Mailing address

610 McFerrin Ave
Nashville, TN 37206-3522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265833487. Details of each certification follow.

Hospital certification: CCN 449802

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
VANDERBILT UNIVERSITY TRANSPLANT CENTER
Certification status
Active
Provider type (POS)
Hospital – Transplant
Participating since
Aug 8, 2008
Last certification
Oct 6, 2021
Facility address
1161 21St Ave South
Nashville, TN 37232

National Provider Directory

National Provider Directory

Locations

1161 21st Ave S
#1218
Nashville, TN 37232
Phone (615) 343-1465

NPI Registry JSON

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

{
    "created_epoch": "1410048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410048000000",
    "number": "1265833487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 MCFERRIN AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 21ST AVE S",
            "address_2": "MCN AA1218",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320011",
            "telephone_number": "615-343-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-07",
        "last_updated": "2014-09-07",
        "status": "A",
        "authorized_official_last_name": "PETRACEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHAIRMAN OF CARDIAC SURGERY",
        "authorized_official_telephone_number": "615-343-7363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.