Individual provider Active NPI

Paul Sangyong Cha, MD

  • Internal Medicine Physician
  • Clarksville, TN
National Provider Identifier
1396848305
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD016287 Issued in TN
Practice address
781 Weatherly Dr
Suite a
Clarksville, TN 37043-8953
Phone
(931) 647-7200
Fax
(931) 645-1546
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD016287 TN Primary
Hematology & Oncology Physician 207RH0003X MD016287 TN

Addresses

Primary practice location

781 Weatherly Dr
Suite a
Clarksville, TN 37043-8953

Mailing address

781 Weatherly Dr
Suite a
Clarksville, TN 37043-8953
Phone (931) 647-7200

Other identifiers 5

IdentifierTypeStateIssuer
46902OtherTNBCBS
621242488OtherCIGNA AND ALL OTHER COMME
64778756OtherKYKY MEDICAID
3015201MedicaidTN
2646213OtherAETNA

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
I20081217000509 TN Practitioner - Internal MedicinePractitioner - Hematology/Oncology 1658433172 Practice locations: Clarksville, TN

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

781 Weatherly Dr
Suite a
Clarksville, TN 37043-8942
Phone (931) 647-7200

781 Weatherly Dr a
Clarksville, TN 37043-8954

980 Professional Park Dr
Suite D
Clarksville, TN 37040-5251
Phone (931) 221-9967

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
36.78 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
95.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD016287TNMDInternal Medicine Physician
16287TNMDCertified Registered Nurse Anesthetist

Hospital & facility affiliations 4

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1396848305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 WEATHERLY DR",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438953",
            "telephone_number": "931-647-7200",
            "fax_number": "931-645-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 WEATHERLY DR",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438953",
            "telephone_number": "931-647-7200",
            "fax_number": "931-645-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "PAUL",
        "middle_name": "SANGYONG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD016287",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "MD016287",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46902",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA AND ALL OTHER COMME",
            "identifier": "621242488",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID",
            "identifier": "64778756",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015201",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2646213",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.