Tesfaye Regaa Guyassa, MD
Individual provider Active NPI Internal Medicine Physician · Decherd, TN
NPI 1366786352 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1366786352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 51431 (TN)
- Practice address
- 109 Kelly Dr
Decherd, TN 37324-3805 - Phone
- (240) 595-7324
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Anova Medical Associates, PLC
Apogee Medical Group Tennessee PC
Practice addresses (Care Compare)
1156 Nashville Pike
Gallatin, TN 37066-3110
Phone (615) 989-1088
1607 S Locust Ave
Lawrenceburg, TN 38464-4011
Phone (931) 766-3179
185 Hospital Rd
Winchester, TN 37398-2404
Phone (931) 967-8200
Hospital & facility affiliations
- Southern Tennessee Regional Health System Lawrence
- Southern Tennessee Regional Health System Winchest
- Vanderbilt Tullahoma-Harton Hospital
- Maury Regional Hospital
- Wayne Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.78 of 100
- Quality
- 84.51
- Improvement activities
- 40
- Cost
- 64.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141007000269 | TN | Practitioner - Hospitalist |
0042430498 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51431 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Tennessee PC | Internal Medicine | Current |
Accepting new patients |
| Summit Medical Group, PLLC | Current |
Accepting new patients | |
| Anova Medical Associates, PLC | Current |
Accepting new patients | |
| Summit Medical Group, PLLC | Internal Medicine | Current |
Accepting new patients |
Locations
1156 Nashville Pike
Gallatin, TN 37066
Phone (615) 989-1088
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
Interoperability endpoints
- tguyassa768629@direct.vumc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 51431 | TN | Yes |
Addresses
Primary practice location
109 Kelly Dr
Decherd, TN 37324-3805
Mailing address
109 Kelly Dr
Decherd, TN 37324
Phone (240) 595-7324
Other providers in Decherd, TN
- Joshua Patrick Estes
- Dale Farris Jr.
- Franklin County Diagnostics
- Franklin County Diagnostics, LLC
- Miranda D Grider
- Angie L. Hill
- Lisa Tassie Holder
- Misti D Howell
- J Lynn Williams MD
- Robert B Kilpatrick
All providers in Decherd, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.