Active NPI
Venkatachalam Ayyagari, MD
- Endocrinology, Diabetes & Metabolism Physician
- Bartlett, TN
National Provider Identifier
1508875733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD 8772
- Practice address
- 2784 Bartlett Blvd
Bartlett, TN 38134-4530 - Phone
- (901) 382-9998
- Fax
- (901) 382-9998
- NPI assigned
- Aug 5, 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 | MD 8772 | TN | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD 8772 | TN | Primary |
Addresses
Primary practice location
2784 Bartlett Blvd
Bartlett, TN 38134-4530
Mailing address
2784 Bartlett Blvd
Bartlett, TN 38134-4530
Phone (901) 382-9998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3181632 | Medicaid | TN |
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 |
|---|---|---|---|---|
| I20150901003249 | TN | Practitioner - Internal Medicine | 7315253630 | Practice locations: Bartlett, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2784 Bartlett Blvd
Bartlett, TN 38134-4530
Phone (901) 382-9998
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 8772 | TN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1508875733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2784 BARTLETT BLVD",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381344530",
"telephone_number": "901-382-9998",
"fax_number": "901-382-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2784 BARTLETT BLVD",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381344530",
"telephone_number": "901-382-9998",
"fax_number": "901-382-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYYAGARI",
"first_name": "VENKATACHALAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD 8772",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TN",
"license": "MD 8772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3181632",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.