Active NPI
Pierre Istfan, MD
- Interventional Cardiology Physician
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 21551
- Practice address
- 1 Medical Park Blvd
Suite 458W
Bristol, TN 37620 - Phone
- (423) 844-4800
- Fax
- (423) 230-6905
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 21551 | TN | |
| Interventional Cardiology Physician | 207RI0011X | 21551 | TN | Primary |
Addresses
Primary practice location
1 Medical Park Blvd
Suite 458W
Bristol, TN 37620
Mailing address
105 W Stone Dr
Suite 6a
Kingsport, TN 37660-3365
Phone (423) 408-7220
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3061017 | Medicaid | TN | |
| 621112685 | Other | TN | UNITED HEALTH CARE |
| 060041210 | Medicaid | TN | |
| 64928450 | Medicaid | KY | |
| 5806232 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- JC Edwards School of Medicine, Marshall University, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121
127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone (423) 230-5000
2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Phone (423) 230-5000
271 Medical Park Blvd
Bristol, TN 37620-7455
Phone (423) 274-8600
Hospital & facility affiliations
- Wellmont Bristol Regional Medical Center
- Johnston Memorial Hospital
- Smyth County Community Hospital
- Wellmont Holston Valley Medical Center
- Johnson City Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 13 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21551 | TN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 458W
Bristol, TN 37620
Phone (423) 230-6900
130 W Ravine Rd
Ste 3A
Kingsport, TN 37660
Phone (423) 224-3220
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
2050 Meadowview Pkwy
Kingsport, TN 37660
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671
1519 Main St
Sneedville, TN 37869
Phone (423) 733-5000
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
743 Island Rd
Bristol, VA 24201
Phone (276) 469-4200
127 Health Care Dr
Ste 3
Pennington Gap, VA 24277
Phone (276) 299-5000
Organizations & group practices 7
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.
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Family Medicine Physician
- Big Stone Gap, VA
- NPI 1174808216
-
- Urgent Care Clinic/Center
- Gray, TN
- NPI 1144770934
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Internal Medicine Physician
- Abingdon, VA
- NPI 1639537525
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1154789030
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
-
- General Acute Care Hospital
- Marion, VA
- NPI 1073519377
-
- General Acute Care Hospital
- Marion, VA
- NPI 1194104687
-
- Durable Medical Equipment & Medical Supplies
- Marion, VA
- NPI 1750433389
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1679518989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W STONE DR",
"address_2": "SUITE 6A",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603365",
"telephone_number": "423-408-7220",
"fax_number": "423-408-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD",
"address_2": "SUITE 458W",
"city": "BRISTOL",
"state": "TN",
"postal_code": "37620",
"telephone_number": "423-844-4800",
"fax_number": "423-230-6905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISTFAN",
"first_name": "PIERRE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "21551",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TN",
"license": "21551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3061017",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "621112685",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060041210",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64928450",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5806232",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.