Individual provider Active NPI

Kevin Coy II, MD

  • Interventional Cardiology Physician
  • Hendersonville, TN
National Provider Identifier
1336673235
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
71163 Issued in TN
Practice address
353 New Shackle Island Rd Ste 300C
Hendersonville, TN 37075-2384
Phone
(615) 824-0043
Fax
(615) 822-1690
NPI assigned
Apr 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 71163 TN
Internal Medicine Physician 207R00000X R4375 KY
Cardiovascular Disease Physician 207RC0000X 71163 TN
Interventional Cardiology Physician 207RI0011X 71163 TN Primary

Addresses

Primary practice location

353 New Shackle Island Rd Ste 300C
Hendersonville, TN 37075-2384

Mailing address

353 New Shackle Island Rd Ste 300C
Hendersonville, TN 37075-2384
Phone (615) 824-0043

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240919001590 TN Practitioner - Interventional Cardiology 9638429970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tristar Tennessee Heart and Vascular LLCGroup PAC ID 2567811474, 22 clinicians

Practice addresses (Care Compare)

353 New Shackle Island Rd
Suite 300C
Hendersonville, TN 37075-2384
Phone (615) 824-0043

Hospital & facility affiliations

  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065
  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
  • Macon Community Hospital Hospital, Lafayette, TN, CCN 441305
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
75.87
Promoting interoperability
100
Improvement activities
40
Cost
68.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tristar Tennessee Heart and Vascular LLC Cardiovascular Disease CurrentSince Sep 3, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

300 Steam Plant Rd
Ste 270
Gallatin, TN 37066
Phone (615) 230-6435

353 New Shackle Island Rd
Ste 300C
Hendersonvlle, TN 37075
Phone (612) 824-0043

214 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-0566

Interoperability endpoints

  • Direct secure messaging: kevin.coy@hca1.eclinicaldirectplus.com

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 5

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1336673235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 300C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752384",
            "telephone_number": "615-824-0043",
            "fax_number": "615-822-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 300C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752384",
            "telephone_number": "615-824-0043",
            "fax_number": "615-822-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COY",
        "first_name": "KEVIN",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "71163",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "R4375",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "71163",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "71163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.