Individual provider Active NPI

Tara M Allen, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Nashville, TN
National Provider Identifier
1497966105
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
License
43472 Issued in TN
Practice address
310 25TH Ave N Ste 202
Nashville, TN 37203-1593
Phone
(615) 678-5544
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 43472 TN
Urology Physician 208800000X 42602 KY
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 43472 TN Primary

Addresses

Primary practice location

310 25TH Ave N Ste 202
Nashville, TN 37203-1593

Mailing address

310 25TH Ave N Ste 202
Nashville, TN 37203-1593
Phone (615) 678-5544

Other identifiers 1

IdentifierTypeStateIssuer
1507826MedicaidTN

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
I20080922000481 TN Practitioner - Urology 5698842367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Mississippi School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Hospital & facility affiliations

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Oct 8, 2023 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Oct 8, 2023 Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

345 23rd Ave N
Ste 212
Nashville, TN 37203
Phone (615) 327-2055

330 23rd Ave N
Ste 602
Nashville, TN 37203
Phone (615) 342-7320

310 25th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 678-5544

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: tara.allen@ahp.eclinicaldirectplus.com
  • Direct secure messaging: taraallen@fpt.medalliesdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1497966105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 25TH AVE N STE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031593",
            "telephone_number": "615-678-5544",
            "fax_number": "615-250-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 25TH AVE N STE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031593",
            "telephone_number": "615-678-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "TARA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "43472",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "42602",
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TN",
            "license": "43472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507826",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.