Individual provider Active NPI

Vafa Cyrus Mansouri, D.O.

  • Interventional Cardiology Physician
  • Nashville, TN
National Provider Identifier
1659342384
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
1875 Issued in TN
Practice address
397 Wallace Rd Ste 414
Nashville, TN 37211-8010
Phone
(615) 333-0851
Fax
(615) 333-0852
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 1875 TN
Interventional Cardiology Physician 207RI0011X 1875 TN Primary

Addresses

Primary practice location

397 Wallace Rd Ste 414
Nashville, TN 37211-8010

Mailing address

397 Wallace Rd Ste 414
Nashville, TN 37211-8010
Phone (615) 284-7260

Other identifiers 3

IdentifierTypeStateIssuer
6011968OtherTNBCBS
P01376528OtherTNRR MEDICARE
33000062MedicaidTN

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
I20070803000588 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2567482847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Heart LLCGroup PAC ID 9931204237, 121 clinicians

Practice addresses (Care Compare)

397 Wallace Rd
414 Building C
Nashville, TN 37211-8010
Phone (615) 333-0851

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Heart LLC Cardiovascular Disease CurrentSince Jan 20, 2025 Accepting new patients
Saint Thomas Medical Partners Cardiovascular Disease CurrentSince May 13, 2014 Accepting new patients
Heart Group PLLC Cardiovascular Disease Past Accepting new patients
Williamson Hospitalist Program Past Accepting new patients
University of Florida Jacksonville Physicians, Inc. Past Accepting new patients
Williamson County Hospital District Past Accepting new patients

Locations

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

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

585 Interstate Dr
Ste B
Manchester, TN 37355
Phone (931) 728-0902

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

397 Wallace Rd
Ste C414
Nashville, TN 37211
Phone (615) 333-0851

397 Wallace Rd
Ste 414
Nashville, TN 37211
Phone (615) 333-0851

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

300 20th Ave N
Fl 9
Nashville, TN 37203

4230 Harding Pike
Nashville, TN 37205
Phone (615) 385-3704

Interoperability endpoints

  • Direct secure messaging: vafa.mansouri@hca1.eclinicaldirectplus.com

Organizations & group practices 6

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 5

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1659342384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD STE 414",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118010",
            "telephone_number": "615-284-7260",
            "fax_number": "615-284-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD STE 414",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118010",
            "telephone_number": "615-333-0851",
            "fax_number": "615-333-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOURI",
        "first_name": "VAFA",
        "middle_name": "CYRUS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "1875",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "1875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6011968",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01376528",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33000062",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.