NPIMap

Individual provider Active NPI

Jason M Vanatta, MD

  • Surgery Physician
  • Memphis, TN
National Provider Identifier
1366452484
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
61282 Issued in KY
Practice address
1265 Union Ave, 4 Shorb Tower
Memphis, TN 38104-3415
Phone
(901) 478-9183
Fax
(901) 478-8957
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 42475 TN
Surgery Physician 208600000X 61282 KY Primary
Surgery Physician 208600000X 42475 TN

Addresses

Primary practice location

1265 Union Ave, 4 Shorb Tower
Memphis, TN 38104-3415

Mailing address

9035 Telluride CV
Germantown, TN 38138-8400

Other practice location 1

401 E Chestnut St Unit 710
Louisville, KY 40202-5707
Phone (502) 583-8303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070726000810 TN Practitioner - General Surgery 3072546514 Reassigns benefits to 2 organizations
I20251014001873 KY Practitioner - General Surgery 3072546514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Drexel University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 E Chestnut St
Suite 710
Louisville, KY 40202-5707
Phone 50258383032

Hospital & facility affiliations

  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42475TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Jul 23, 2013 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince May 28, 2019 Accepting new patients
University of Louisville Physicians, Inc. Surgery Current Accepting new patients
Ut Methodist Physicians LLC Transplant Surgery CurrentSince Sep 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

3100 Weston Rd
Weston, FL 33331
Phone (954) 689-5000

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

7752 Solution Ctr
Chicago, IL 60677

401 E Chestnut St
Unit 710
Louisville, KY 40202
Phone 50258383031332

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

220 Abraham Flexner Way
Fl 3
Louisville, KY 40202
Phone (502) 540-1426

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

7945 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 201-5470

1211 Union Ave
Ste 340
Memphis, TN 38104
Phone (901) 478-0589

1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1265 Union Ave
#4
Memphis, TN 38104
Phone (901) 478-9183

300 20th Ave N
Fl 9
Nashville, TN 37203

300 20th Ave N
Ste G8
Nashville, TN 37203
Phone (615) 284-7533

Interoperability endpoints

  • Direct secure messaging: jvanatta27992@mlh.direct-ci.com
  • Direct secure messaging: jvanatta522419@direct.ccf.org

Organizations & group practices 8

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 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1366452484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 TELLURIDE CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381388400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UNION AVE, 4 SHORB TOWER",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043415",
            "telephone_number": "901-478-9183",
            "fax_number": "901-478-8957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Chestnut St Unit 710",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402025707",
            "country_code": "US",
            "telephone_number": "502-583-8303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANATTA",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "TN",
            "license": "42475",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "61282",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "42475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.