Active NPI
Thomas Jordan Grillot, M.D.
- Diagnostic Radiology Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 58655
- Practice address
- 1161 21St Ave S Ste CCC 1118
Nashville, TN 37232-3124 - Phone
- (615) 343-1188
- NPI assigned
- Jun 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 94-08730 | KS | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 58655 | TN | Primary |
Addresses
Primary practice location
1161 21St Ave S Ste CCC 1118
Nashville, TN 37232-3124
Mailing address
719 Thompson LN Ste 30330
Nashville, TN 37204-4701
Phone (615) 322-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1112 W 6TH St
Suite 110
Lawrence, KS 66044-2249
325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-6194
Hospital & facility affiliations
- LMH
- University of Kansas Hospital
- Adventhealth Ottawa
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.14 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 93.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58655 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamson Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| One Hundred Oaks Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Vanderbilt Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiologic Professional Services. P.a. | Current | Accepting new patients | |
| Tuhc Radiology Group LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1112 W 6th St
Ste 110
Lawrence, KS 66044
Phone (784) 841-3211
325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988
2009 Mallory Ln
Ste 150
Franklin, TN 37067
Phone (615) 771-8668
1909 Acklen Ave
Nashville, TN 37212
Phone (615) 777-9729
719 Thompson Ln
Ste 23300
Nashville, TN 37204
Phone (615) 936-3606
Organizations & group practices 5
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.
-
- Specialist
- Lawrence, KS
- NPI 1093756926
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1245485549
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1144241985
-
- Diagnostic Radiology Physician
- Franklin, TN
- NPI 1578581294
-
- Diagnostic Radiology Physician
- Metairie, LA
- NPI 1710029673
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ottawa, KS
- NPI 1972063758
-
- General Acute Care Hospital
- Lawrence, KS
- NPI 1508883422
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1578978243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 THOMPSON LN STE 30330",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372044701",
"telephone_number": "615-322-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 21ST AVE S STE CCC 1118",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372323124",
"telephone_number": "615-343-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRILLOT",
"first_name": "THOMAS",
"middle_name": "JORDAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-21",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "94-08730",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "58655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.