Siddharth Bhavsar
Individual provider Active NPI Hospitalist Physician · Hermitage, TN
NPI 1518579986 · NPPES record last updated Sep 13, 2023
Key facts
- NPI
- 1518579986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 67952 (TN)
- Practice address
- 5655 First Blvd
Hermitage, TN 37076 - Phone
- (330) 675-5706
- NPI assigned
- Aug 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Medicine Services of TN LLC
Practice addresses (Care Compare)
5655 1St Blvd
Hermitage, TN 37076-2053
Phone (615) 316-3000
Hospital & facility affiliations
- Tristar Summit Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240524002167 | TN | Practitioner - Internal Medicine | 9436591252 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of TN, LLC | Hospitalist | Current |
Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541
2300 Patterson St
#M
Nashville, TN 37203
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 67952 | TN | Yes |
Addresses
Primary practice location
5655 First Blvd
Hermitage, TN 37076
Mailing address
5655 First Blvd
Hermitage, TN 37076
Other providers in Hermitage, TN
- Jennifer L Bell
- Pierre Kindall Berry
- Anthony Michael Bertrand
- George Beshay
- Beverly Andrews FNP PLLC
- Michael Biersmith
- Ben J Birdwell
- Tyler Robert Blahnik
- Laura Johnetta Blakely
- Olof Lowry Blomberg
All providers in Hermitage, TN · Hospitalist Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.