Individual provider Active NPI

Kartik Boorgu, MD

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1689616294
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
31173 Issued in TN
Practice address
210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone
(615) 312-0600
Fax
(615) 320-3259
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Alabama School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Radiology Consultants P a 70 clinicians

Practice addresses (Care Compare)

1092 Laurel Knoll CT
Brentwood, TN 37027-8477
Phone (239) 424-2000

5040 Murray LN
Brentwood, TN 37027-5801
Phone (239) 344-9327

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
74.15
Promoting interoperability
77
Improvement activities
40
Cost
78.84

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050217000929 TN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2668421512 Reassigns benefits to 5 organizations
I20150623000364 KY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2668421512 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31173TNMDDiagnostic Radiology Physician
22402SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lebanon Pet Scan Center, LLC Diagnostic Radiology CurrentSince Aug 24, 2020 Accepting new patients
Imaging Alliance Nashville Pet LLC CurrentSince Jan 1, 2024 Accepting new patients
Florida Radiology Consultants P a Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 1, 2010 Accepting new patients
Jackson Radiology Associates PA Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Tennessee Oncology PLLC Diagnostic Radiology CurrentSince May 1, 2012 Accepting new patients
Tennessee Oncology Diagnostic Radiology CurrentSince May 1, 2012 Accepting new patients
Radiology Alliance CT Diagnostic Radiology Past Accepting new patients
Radcare of Tennessee PC Diagnostic Radiology Past Accepting new patients
Charleston Radiologists PA Diagnostic Radiology Past Accepting new patients
Tennessee Oncology,PLLC Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging, P.C. Diagnostic Radiology Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Tennessee Oncology, PLLC Diagnostic Radiology Past Accepting new patients
The Surgical Clinic PLLC PastSince Mar 27, 2022 Accepting new patients

Locations (25 of 80)

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

990 Wilkinson Trce
Ste 100
Bowling Green, KY 42103
Phone (270) 781-4043

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

710 E Main St
Adamsville, TN 38310
Phone (731) 632-3383

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

2205 McCallie Ave
Chattanooga, TN 37404
Phone (423) 508-6733

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

776 Weatherly Dr
Clarksville, TN 37043
Phone (931) 906-2004

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

1511 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5555

1700 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 286-1115

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

1483 Nashville Pike
Ste 302
Gallatin, TN 37066
Phone (615) 230-8601

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 31173 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620

Mailing address

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

Other practice location 1

2018 Murphy Ave Ste 200
Nashville, TN 37203-1929
Phone (615) 320-7387

Other practice location 2

4488 Carothers Pkwy Ste 110
Franklin, TN 37067-6584
Phone (615) 721-0935

Other practice location 3

103 Physicians Way Ste 100
Lebanon, TN 37090-4129
Phone (615) 443-7436

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
1504514MedicaidTN
P00198148OtherRAILROAD MEDICARE
7100147100MedicaidKY
4279292OtherTNBLUE CROSS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2021.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1689616294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2018 Murphy Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031929",
            "country_code": "US",
            "telephone_number": "615-320-7387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4488 Carothers Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370676584",
            "country_code": "US",
            "telephone_number": "615-721-0935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Physicians Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370904129",
            "country_code": "US",
            "telephone_number": "615-443-7436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOORGU",
        "first_name": "KARTIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "31173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1504514",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00198148",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100147100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4279292",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.