Individual provider Active NPI

John B Monaco, M.D.

  • Gynecology Physician
  • Nashville, TN
National Provider Identifier
1548357205
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
50833 Issued in TN
Practice address
4230 Harding Pike Ste 400
Nashville, TN 37205-4900
Phone
(615) 297-2700
Fax
(615) 301-5010
NPI assigned
Oct 6, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 021661 CT
Gynecology Physician 207VG0400X 50833 TN Primary

Addresses

Primary practice location

4230 Harding Pike Ste 400
Nashville, TN 37205-4900

Mailing address

104 Woodmont Blvd Ste LL50
Nashville, TN 37205-2382
Phone (615) 386-2361

Other identifiers 4

IdentifierTypeStateIssuer
6030555OtherTNBCBST
7100329280MedicaidKY
1534430MedicaidTN
001216613MedicaidCT

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
I20150319001655 TN Practitioner - Obstetrics/Gynecology 1951628585 Reassigns benefits to 1 organization
Practice locations: Nashville, TN

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wake Forest University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1909 Mallory Lane
Suite 108
Franklin, TN 37067-8230

1909 Mallory LN
Suite 108
Franklin, TN 37067-8230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021661CTMDGynecology Physician
50833TNMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Hormone & Integrative Medicine Center, LLC CurrentSince Nov 1, 2018 Accepting new patients
Woodland Women's Services, L.L.C. Past Accepting new patients

Locations

1909 Mallory Ln
Ste 108
Franklin, TN 37067
Phone (615) 771-7220

104 Woodmont Blvd
Ste LL50
Nashville, TN 37205
Phone (615) 386-2300

4230 Harding Pike
Ste 400
Nashville, TN 37205
Phone (615) 292-5191

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548357205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE LL50",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052382",
            "telephone_number": "615-386-2361",
            "fax_number": "615-386-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054900",
            "telephone_number": "615-297-2700",
            "fax_number": "615-301-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONACO",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CT",
            "license": "021661",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "50833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "6030555",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100329280",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1534430",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001216613",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.