Active NPI
Ashish K Chakravarthy, MD
- Emergency Medicine Physician
- Sewanee, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 030804
- Practice address
- 1260 University Ave
Sewanee, TN 37375-2303 - Phone
- (931) 598-5691
- NPI assigned
- May 25, 2006
- Last updated
- Nov 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 030804 | TN | Primary |
Addresses
Primary practice location
1260 University Ave
Sewanee, TN 37375-2303
Mailing address
PO Box 634706
Cincinnati, OH 45263-0001
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3728385 | Medicaid | TN | |
| P00384383 | Other | TN | MEDICARE RAILROAD |
| 4151492 | Other | TN | BLUE CROSS |
| 18053 | Other | TN | TLC TENNCARE |
| 3122069 | Other | TN | BLUE CROSS |
| 3835180 | Medicaid | TN | |
| 3835189 | Medicaid | TN | |
| 3835185 | Medicaid | TN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030804 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Hospital Medicine Services of Tennessee PC | Current | Accepting new patients | |
| Lakeway Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Mid State Medical Group, LLC | Past | Accepting new patients |
Locations
111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
726 McFarland St
Morristown, TN 37814
Phone (423) 522-6160
1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
1260 University Ave
Sewanee, TN 37375
Phone (615) 598-5691
200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Emergency Coverage Corporation of TeamHealth
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- Newport, TN
- NPI 1427005008
Emergency Medicine
-
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- NPI 1528433802
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Emergency Medicine Physician
- Morristown, TN
- NPI 1043529787
-
- Internal Medicine Physician
- Gallatin, TN
- NPI 1093725533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1275589145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 634706",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 UNIVERSITY AVE",
"city": "SEWANEE",
"state": "TN",
"postal_code": "373752303",
"telephone_number": "931-598-5691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAKRAVARTHY",
"first_name": "ASHISH",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "030804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3728385",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00384383",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4151492",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC TENNCARE",
"identifier": "18053",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3122069",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3835180",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3835189",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3835185",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sewanee, TN
- Craig L Berger, MD
- Eric Bornemann, RN, CPNP-PC
- Jonathan Buffington, LCSW, LADAC II
- David McCrary Burnett, LADAC
- Andrew Bert Carlsen, MD
- Compassionate Home Care & Staffing (Compassionate Home Care & Community Services L.L.C.)
- Cumberland Healthcare Group PLLC (Sewanee Family Practice)
- Cumberland Healthcare Group PLLC (Sewanee Pediatrics)
- David Cunningham, PT
- Emily Ezell Counseling, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.