NPIMap

Individual provider Active NPI

Girendra V Hoskere, MD

  • Pulmonary Disease Physician
  • Bristol, TN
National Provider Identifier
1710970793
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
31670 Issued in TN
Practice address
1 Medical Park Blvd Ste 205E
Bristol, TN 37620-7507
Phone
(423) 844-5520
Fax
(423) 844-5521
NPI assigned
Aug 25, 2005
Last updated
Aug 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 31670 TN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101244855 VA
Pulmonary Disease Physician 207RP1001X 0101244855 VA
Pulmonary Disease Physician 207RP1001X 31670 TN Primary
Hospitalist Physician 208M00000X 31670 TN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 31670 TN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 0101244855 VA

Addresses

Primary practice location

1 Medical Park Blvd Ste 205E
Bristol, TN 37620-7507

Mailing address

105 W. Stone Dr.
Suite 6a
Kingsport, TN 37660-3365
Phone (423) 408-7220

Other identifiers 4

IdentifierTypeStateIssuer
3847700MedicaidTN
201217521OtherTNPHP (IPC OF TN)
TN0138OtherTNJOHN DEERE (IPC OF TN)
4137448OtherTNBCBST (IPC OF TN)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060120000303 TN Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4880618545 Reassigns benefits to 1 organization
I20090723000724 VA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4880618545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430

1 Medical Park Blvd
Suite 205E
Bristol, TN 37620-7507
Phone (423) 844-5520

1 Medical Park Blvd
Suite 250W
Bristol, TN 37620-7431
Phone (423) 844-6620

111 W Stone Dr
Kingsport, TN 37660-6027

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664

245 Medical Park Dr
Marion, VA 24354-1100

323 Falls NWDR
Abingdon, VA 24210-8093
Phone (276) 628-2612

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31670TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates Inc Hospitalist CurrentSince Jul 1, 2012 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 19, 2019 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Wellmont Medical Associates Inc Pulmonary Disease Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 19, 2019 Accepting new patients
Clary Foote MD P.C. Past Accepting new patients
Roane Medical Center Hospitalist Past Accepting new patients
Medical Education Assistance Corporation PastSince Jul 18, 2009 Accepting new patients
Inpatient Consultants of Tennessee, P.C. Hospitalist Past Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1 Medical Park Blvd
Ste 205E
Bristol, TN 37620
Phone (423) 844-5520

791 Old Gray Station Rd
Johnson City, TN 37615
Phone (423) 477-7146

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c4a889f-c0c4-4f50-90d1-60f6a5ad9e7d/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/9d9ce2ac-65e8-4488-a0f0-ba102e060a58/

Organizations & group practices 11

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.

Hospital & facility affiliations 9

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1710970793",
    "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 STE 205E",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207507",
            "telephone_number": "423-844-5520",
            "fax_number": "423-844-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSKERE",
        "first_name": "GIRENDRA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "31670",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101244855",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101244855",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "31670",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "31670",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "31670",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101244855",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3847700",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP (IPC OF TN)",
            "identifier": "201217521",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE (IPC OF TN)",
            "identifier": "TN0138",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST (IPC OF TN)",
            "identifier": "4137448",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.