Individual provider Active NPI

Michael J. Dieckhaus, MD

  • Ophthalmology Physician
  • Nashville, TN
National Provider Identifier
1639336571
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
47866 Issued in TN
Practice address
4306 Harding PK
Suite 300
Nashville, TN 37205
Phone
(615) 383-4303
Fax
(615) 269-4970
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 47866 TN Primary

Addresses

Primary practice location

4306 Harding PK
Suite 300
Nashville, TN 37205

Mailing address

4306 Harding PK.
Suite 300
Nashville, TN 37205
Phone (615) 383-4303

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
I20111013000152 TN Practitioner - Ophthalmology 9234301367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nashville Vision Associates, PLCGroup PAC ID 3274691761, 5 clinicians

Practice addresses (Care Compare)

343 Franklin Rd
Suite 204
Brentwood, TN 37027-5342
Phone (615) 297-6591

4515 Harding Pike
Suite 200
Nashville, TN 37205-2172

Hospital & facility affiliations

  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
92.31
Improvement activities
40
Cost
77.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery188

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47866TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Vision Associates, PLC Ophthalmology CurrentSince Dec 1, 2022 Accepting new patients

Locations

343 Franklin Rd
Ste 204
Brentwood, TN 37027
Phone (615) 284-5755

4306 Harding Pike
Ste 300
Nashville, TN 37205
Phone (615) 294-6591

4515 Harding Pike
Ste 200
Nashville, TN 37205
Phone (615) 297-6591

Interoperability endpoints

  • Direct secure messaging: mdieckhaus@nva.intellechartdirect.net

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 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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1639336571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 HARDING PK.",
            "address_2": "SUITE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37205",
            "telephone_number": "615-383-4303",
            "fax_number": "615-269-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 HARDING PK",
            "address_2": "SUITE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37205",
            "telephone_number": "615-383-4303",
            "fax_number": "615-269-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIECKHAUS",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "47866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.