Individual provider Active NPI

Raphael Dada Lanade, MD

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1427081884
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD31717 Issued in TN
Practice address
6106 Shallowford Rd
Suite 100
Chattanooga, TN 37421-2239
Phone
(423) 208-9377
Fax
(423) 475-5143
NPI assigned
Jul 9, 2006
Last updated
Jul 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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 MD31717 TN Primary

Addresses

Primary practice location

6106 Shallowford Rd
Suite 100
Chattanooga, TN 37421-2239

Mailing address

6106 Shallowford Rd
Suite 100
Chattanooga, TN 37421-2239
Phone (423) 208-9377

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
I20050104000790 TN Practitioner - Internal Medicine 3274581558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TN LLCGroup PAC ID 2365807633, 266 clinicians

Practice addresses (Care Compare)

2000 Healthpark Dr
Brentwood, TN 37027

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 698-6061

5380 Tech Data Dr
Suite 101
Cleanwater, FL 33760-3122

6106 Shallowford Rd
Suite 100
Chattanooga, TN 37421-2280
Phone (888) 339-0377

7351 Courage Way
Parkridge Valley Adult and Senior Behavioral
Chattanooga, TN 37421-1555
Phone (423) 499-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31717TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raphael D Lanade, MD PLLC Internal Medicine CurrentSince Jan 27, 2014 Accepting new patients
Hospital Medicine Services of TN, LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

6106 Shallowford Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 208-9377

1000 Highway 28
Jasper, TN 37347
Phone (423) 837-9500

2300 Patterson St
#M
Nashville, TN 37203

Interoperability endpoints

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

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1427081884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 SHALLOWFORD RD",
            "address_2": "SUITE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212239",
            "telephone_number": "423-208-9377",
            "fax_number": "423-475-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 SHALLOWFORD RD",
            "address_2": "SUITE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212239",
            "telephone_number": "423-208-9377",
            "fax_number": "423-475-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANADE",
        "first_name": "RAPHAEL",
        "middle_name": "DADA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD31717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.