Individual provider Active NPI

Joseph B Delozier III, MD

  • Surgery Physician
  • Nashville, TN
National Provider Identifier
1568597102
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
16595 Issued in TN
Practice address
209 23Rd Ave N
Nashville, TN 37203-1501
Phone
(615) 565-9000
Fax
(615) 565-9005
NPI assigned
Feb 23, 2007
Last updated
Sep 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 16595 TN Primary

Addresses

Primary practice location

209 23Rd Ave N
Nashville, TN 37203-1501

Mailing address

209 23Rd Ave N
Nashville, TN 37203-1501
Phone (615) 565-9000

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
I20040819000429 TN Practitioner - Plastic and Reconstructive Surgery 4981677606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Tennessee, HSC, College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph B Delozier III MD PLLCGroup PAC ID 6901879626, 2 clinicians

Practice addresses (Care Compare)

209 23Rd Ave N
Nashville, TN 37203-1501

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph B Delozier III MD PLLC CurrentSince Aug 19, 2004 Accepting new patients

Locations

209 23rd Ave N
Nashville, TN 37203
Phone (615) 565-9000

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1568597102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 23RD AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031501",
            "telephone_number": "615-565-9000",
            "fax_number": "615-565-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 23RD AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031501",
            "telephone_number": "615-565-9000",
            "fax_number": "615-565-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOZIER",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "16595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.