Individual provider Active NPI

Thomas Jordan Grillot, M.D.

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1578978243
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
58655 Issued in TN
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

Updated by the provider on May 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190718003487 TN Practitioner - Diagnostic Radiology 1052539749 Reassigns benefits to 3 organizations
I20200616003050 KS Practitioner - Diagnostic Radiology 1052539749 Reassigns benefits to 1 organization

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
Radiologic Professional Services. P.a.Group PAC ID 3678529112, 8 clinicians

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 Hospital, Lawrence, KS, CCN 170137
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014

Merit-based Incentive Payment System (MIPS)

Final score
98.14 of 100Reported as group
Quality
100
Improvement activities
40
Cost
93.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58655TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
One Hundred Oaks Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Vanderbilt Imaging Services, LLC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Radiologic Professional Services. P.a. CurrentSince Jun 15, 2020 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.