Timothy Kerwin Kreth, M.D

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

14528 Issued in TN

Practice address

5651 Frist Blvd
Suite 603
Hermitage, TN 37076-2079

Phone

(615) 889-1968

Fax

(615) 889-8527

NPI assigned

Feb 9, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: timothy.kreth.1@7654.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saint Thomas Cardiology Consultants, PC

  • Cardiovascular Disease Physician
  • Nashville, TN
  • NPI 1871607580
  NPD (past)
• Williamson County Hospital District

  dba Williamson Medical Center

  • General Acute Care Hospital
  • Franklin, TN
  • NPI 1265445506
  NPD (past)
• Williamson Hospitalist Program

  • Hospitalist Physician
  • Franklin, TN
  • NPI 1871057158
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679546717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "603",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762079",
            "telephone_number": "615-889-7891",
            "fax_number": "615-889-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 603",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762079",
            "telephone_number": "615-889-1968",
            "fax_number": "615-889-8527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 21st Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031821",
            "country_code": "US",
            "telephone_number": "615-329-5144",
            "fax_number": "615-284-2208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRETH",
        "first_name": "TIMOTHY",
        "middle_name": "KERWIN",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "14528",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "14528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64083488",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3705322",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Knott, COTA/L
• Maci Michelle Koehner, APRN
• Alexandra F Kopack, BCBA
• Sharon Kostes
• Kramer Davis Tennessee LLC (Kramer Davis Health)
• Jeremy Krider, PA-C, EMT-B
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kroger Limited Partnership I (Kroger Pharmacy)
• Jacob Thomas Kroon, DPT
• Aileen Marty Kruger, D.D.S

• Interventional Cardiology Physician in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Interventional Cardiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.