Individual provider Active NPI

Yoganandam Thati, MD

  • Internal Medicine Physician
  • Brentwood, TN
National Provider Identifier
1417944760
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31806 Issued in TN
Practice address
743 Rolling Fork Dr
Brentwood, TN 37027-5919
Phone
(615) 790-7992
Fax
(615) 771-6537
NPI assigned
Oct 3, 2005
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31806 TN Primary

Addresses

Primary practice location

743 Rolling Fork Dr
Brentwood, TN 37027-5919

Mailing address

PO Box 3633
Brentwood, TN 37024-3633
Phone (615) 790-7992

Other names 1

  • Dr. Yoga Nandam Thati Other name

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
I20051015000052 TN Practitioner - Internal MedicinePractitioner - Emergency Medicine 5294751657 Practice locations: Franklin, TN; Murfreesboro, TN; Nashville, TN; Whites Creek, TN

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2014 Quail Hollow Cir
Franklin, TN 37067-5967
Phone (615) 591-4566

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 591-4566

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalists at Centennial Medical Center LLC Past Accepting new patients
The Surgical Clinic PLLC Past Accepting new patients
McKissack Park Inpatient Services PLLC Past Accepting new patients
Advanced Diagnostic Imaging PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1417944760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3633",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370243633",
            "telephone_number": "615-790-7992",
            "fax_number": "615-771-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 ROLLING FORK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275919",
            "telephone_number": "615-790-7992",
            "fax_number": "615-771-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATI",
        "first_name": "YOGANANDAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "31806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOGA",
            "last_name": "THATI",
            "middle_name": "NANDAM",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.