Individual provider Active NPI

Alan F Shikoh, MD

  • Gastroenterology Physician
  • Chattanooga, TN
National Provider Identifier
1316013121
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD26564 Issued in TN
Practice address
2515 Desales Ave Ste 206
Chattanooga, TN 37404-1100
Phone
(423) 698-8101
Fax
(423) 698-3450
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD26564 TN Primary

Addresses

Primary practice location

2515 Desales Ave Ste 206
Chattanooga, TN 37404-1100

Mailing address

4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 497-5355

Other identifiers 1

IdentifierTypeStateIssuer
3800045MedicaidTN

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
I20040621000081 TN Practitioner - Gastroenterology 5890770390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Vanderbilt University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Medical Group, PCGroup PAC ID 2668377391, 122 clinicians

Practice addresses (Care Compare)

1651 Gunbarrel Rd
Suite 102
Chattanooga, TN 37421-3289
Phone (423) 308-0390

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy473
Upper gastrointestinal (GI) endoscopy for acid reflux354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26564TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Medical Group, PC Gastroenterology CurrentSince Aug 1, 2018 Accepting new patients

Locations

721 Glenwood Dr
Ste W473
Chattanooga, TN 37404
Phone (423) 495-4730

1651 Gunbarrel Rd
Ste 102
Chattanooga, TN 37421
Phone (423) 308-0292

1651 Gunbarrel Rd
Ste 302
Chattanooga, TN 37421
Phone (423) 899-2904

2515 Desales Ave
Ste 206
Chattanooga, TN 37404
Phone (423) 629-6550

4976 Alpha Ln
Hixson, TN 37343
Phone (423) 308-0280

Organizations & group practices 1

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1316013121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435470",
            "telephone_number": "423-497-5355",
            "fax_number": "423-308-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 DESALES AVE STE 206",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041100",
            "telephone_number": "423-698-8101",
            "fax_number": "423-698-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIKOH",
        "first_name": "ALAN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD26564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3800045",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.