Individual provider Active NPI

Douglas Tomanelli, D.O.

  • Rehabilitation Chiropractor
  • Hixson, TN
National Provider Identifier
1376697029
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Practice address
4513 Hixson Pike
Suite 104
Hixson, TN 37343-5039
Phone
(423) 877-1558
Fax
(423) 877-1543
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X TN Primary

Addresses

Primary practice location

4513 Hixson Pike
Suite 104
Hixson, TN 37343-5039

Mailing address

4513 Hixson Pike
Suite 104
Hixson, TN 37343-5039
Phone (423) 877-1558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000617 TN Practitioner - Chiropractic 0446418651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health PLLCGroup PAC ID 2466347653, 7 clinicians

Practice addresses (Care Compare)

3742 Tennessee Ave
Suite 104
Chattanooga, TN 37409-1222
Phone (423) 602-5656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health PLLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

400 S Moore Rd
Ste E
Chattanooga, TN 37412

3742 Tennessee Ave
Ste 104
Chattanooga, TN 37409
Phone (423) 265-2225

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376697029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 HIXSON PIKE",
            "address_2": "SUITE 104",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435039",
            "telephone_number": "423-877-1558",
            "fax_number": "423-877-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 HIXSON PIKE",
            "address_2": "SUITE 104",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435039",
            "telephone_number": "423-877-1558",
            "fax_number": "423-877-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMANELLI",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.