Individual provider Active NPI

Michael Shehab Sedhom, MD

  • Internal Medicine Physician
  • Lebanon, TN
National Provider Identifier
1679406706
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0123456 Issued in TN
Practice address
1616 W Main St Ste And201
Lebanon, TN 37087-3100
Phone
(615) 444-1180
NPI assigned
Jun 8, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0123456 TN Primary

Addresses

Primary practice location

1616 W Main St Ste And201
Lebanon, TN 37087-3100

Mailing address

1616 W Main St Ste And201
Lebanon, TN 37087-3100
Phone (615) 444-1180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1679406706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 W MAIN ST STE AND201",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873100",
            "telephone_number": "615-444-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W MAIN ST STE AND201",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873100",
            "telephone_number": "615-444-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDHOM",
        "first_name": "MICHAEL",
        "middle_name": "SHEHAB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "0123456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.