Active NPI
Paul Sangyong Cha, MD
- Internal Medicine Physician
- Clarksville, TN
National Provider Identifier
1396848305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD016287
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46902 | Other | TN | BCBS |
| 621242488 | Other | CIGNA AND ALL OTHER COMME | |
| 64778756 | Other | KY | KY MEDICAID |
| 3015201 | Medicaid | TN | |
| 2646213 | Other | AETNA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081217000509 | TN | Practitioner - Internal Medicine | 1658433172 | Practice locations: Clarksville, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
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
- Suncrest Home Health
- Amedisys Home Health
- Vanderbilt Clarksville Hospital
- Brigadier General Wendell H Gilbert TN State Veter
Merit-based Incentive Payment System (MIPS)
- Final score
- 36.78 of 100
- Quality
- 20
- Improvement activities
- 0
- Cost
- 95.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD016287 | TN | MD | Internal Medicine Physician |
| 16287 | TN | MD | Certified Registered Nurse Anesthetist |
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brentwood, TN
- NPI 1972551794
-
- General Acute Care Hospital
- Clarksville, TN
- NPI 1285689794
-
- Home Health Agency
- Clarksville, TN
- NPI 1427003607
-
- Skilled Nursing Facility
- Clarksville, TN
- NPI 1528448974
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.