Individual provider Active NPI

Kyle Mandsager, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Nashville, TN
National Provider Identifier
1629336185
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
52097 Issued in TN
Practice address
2400 Patterson St Ste 502
Nashville, TN 37203-6511
Phone
(615) 515-1900
NPI assigned
May 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 52097 TN
Clinical Cardiac Electrophysiology Physician 207RC0001X 52097 TN Primary

Addresses

Primary practice location

2400 Patterson St Ste 502
Nashville, TN 37203-6511

Mailing address

2400 Patterson St Ste 502
Nashville, TN 37203-6511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KYLE.MANDSAGER@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 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
I20200721003236 TN Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3274957485 Reassigns benefits to 1 organization
I20210121002179 KY Practitioner - Cardiovascular Disease (Cardiology) 3274957485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centennial Heart LLCGroup PAC ID 9931204237, 121 clinicians

Practice addresses (Care Compare)

1720 Nashville Pike
Suite 200
Gallatin, TN 37066-3154
Phone (615) 515-1900

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 222-2100

2400 Patterson St
Suite 103
Nashville, TN 37203-1577
Phone (615) 515-1900

2400 Patterson St
Suite 502
Nashville, TN 37203-6511
Phone (615) 515-1900

300 Steam Plant Rd
Suite 270
Gallatin, TN 37066-3019
Phone (615) 230-6435

353 New Shackle Island Rd
Suite 300C
Hendersonville, TN 37075-2384
Phone (615) 824-0043

355 New Shackle Island Rd
Hendersonville, TN 37075-2479
Phone (615) 338-1000

5651 Frist Blvd
Suite 603
Hermitage, TN 37076-2079
Phone (615) 889-1968

5655 1St Blvd
Hermitage, TN 37076-2053
Phone (615) 889-8527

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as individual
Quality
83.31
Promoting interoperability
95
Improvement activities
40
Cost
81.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52097TNMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Heart LLC Cardiovascular Disease CurrentSince Sep 1, 2020 Accepting new patients

Locations

125 Memorial Dr
Franklin, KY 42134
Phone (270) 586-6004

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1720 Nashville Pike
Ste 200
Gallatin, TN 37066
Phone (615) 230-6435

2400 Patterson St
Ste 502
Nashville, TN 37203
Phone (615) 515-1968

2400 Patterson St
Ste 103
Nashville, TN 37203
Phone (615) 329-0929

Organizations & group practices 1

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 3

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1629336185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 502",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 502",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036511",
            "telephone_number": "615-515-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDSAGER",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2022-02-10",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "52097",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TN",
            "license": "52097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KYLE.MANDSAGER@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2400 Patterson St Ste 502",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372036511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.