Individual provider Active NPI

Satish K Odhav, M.D.

  • Specialist
  • Jackson, TN
National Provider Identifier
1679610745
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000020614 Issued in TN
Practice address
371 N Parkway Ste 400
Jackson, TN 38305-2891
Phone
(731) 664-0002
Fax
(731) 664-7859
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000020614 TN Primary

Addresses

Primary practice location

371 N Parkway Ste 400
Jackson, TN 38305-2891

Mailing address

PO Box 10776
Jackson, TN 38308-0112
Phone (731) 664-0002

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
I20040121000468 TN Practitioner - Rheumatology 7719886753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis Clinic, PLLCGroup PAC ID 9537068564, 2 clinicians

Practice addresses (Care Compare)

371 N Pkwy
Suite 400
Jackson, TN 38305-2891
Phone (731) 664-0002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.02 of 100Reported as individual
Quality
94.94
Improvement activities
40
Cost
46.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000020614TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Clinic, PLLC Specialist CurrentSince Feb 17, 2003 Accepting new patients

Locations

371 N Parkway
Ste 400
Jackson, TN 38305
Phone (731) 664-0002

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1679610745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10776",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383080112",
            "telephone_number": "731-664-0002",
            "fax_number": "731-664-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 N PARKWAY STE 400",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052891",
            "telephone_number": "731-664-0002",
            "fax_number": "731-664-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODHAV",
        "first_name": "SATISH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000020614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.