Individual provider Active NPI

Parviz Gholami, MD

  • Gastroenterology Physician
  • Bristol, TN
National Provider Identifier
1740462464
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
64913 Issued in TN
Practice address
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone
(423) 844-1121
NPI assigned
Dec 4, 2007
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 13385 ND
Gastroenterology Physician 207RG0100X 64913 TN Primary
Gastroenterology Physician 207RG0100X 348758 LA
Internal Medicine Physician 207R00000X A101582 CA
Internal Medicine Physician 207R00000X 0101245692 VA
Gastroenterology Physician 207RG0100X 2024041759 MO

Addresses

Primary practice location

1 Medical Park Blvd
Bristol, TN 37620-7430

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

24100 Calabasas Rd Ste 100
Calabasas, CA 91302-1636
Phone (818) 809-7994

Other practice location 2

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 3

3901 S Fremont Ave Fl 4
Springfield, MO 65804-6538
Phone (000) 000-0000

Other practice location 4

1449 E Bert Koun Loop Ste 101
Shreveport, LA 71105-5663
Phone (318) 681-4282

Other identifiers 3

IdentifierTypeStateIssuer
1740462464MedicaidCA
1740462464MedicaidKS
1740462464MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI, TN, MO, LA, OK, TX7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20140311001586 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 7315075546 Reassigns benefits to 2 organizations
Practice locations: Calabasas, CA
I20210427002005 MI Practitioner - Gastroenterology 7315075546 Reassigns benefits to 1 organization
I20220307000190 TN Practitioner - Gastroenterology 7315075546 Reassigns benefits to 1 organization
I20250401003250 MO Practitioner - Internal MedicinePractitioner - Gastroenterology 7315075546 Reassigns benefits to 1 organization
I20251015004414 LA Practitioner - Gastroenterology 7315075546 Reassigns benefits to 1 organization
I20260128001615 OK Practitioner - Gastroenterology 7315075546 Reassigns benefits to 1 organization
I20260213000583 TX Practitioner - Gastroenterology 7315075546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 590-5611

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138

2330 E Meyer Blvd
Suite 301
Kansas City, MO 64132-1149
Phone (816) 333-5424

4200 W Memorial Rd
Suite 310
Oklahoma City, OK 73120-8378
Phone (405) 749-4222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy62
Upper gastrointestinal (GI) endoscopy for acid reflux285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101582CAMDPediatric Dentist
A101582CAMDInternal Medicine Physician
0101245692VAMDInternal Medicine Physician
13385NDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Apr 7, 2025 Accepting new patients
Lester E Cox Medical Centers Gastroenterology CurrentSince Apr 7, 2025 Accepting new patients
Etmc Physician Group Inc. CurrentSince Jan 1, 2026 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Oct 13, 2025 Accepting new patients
University Health System Inc CurrentSince Jan 14, 2022 Accepting new patients
Mercy Clinic Oklahoma Communities Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Bronson Methodist Hospital CurrentSince May 19, 2021 Accepting new patients
Kansas City Gastroenterology & Hepatology Physicians Group, LLC Internal Medicine CurrentSince Aug 18, 2025 Accepting new patients
Etmc Physician Group Inc. CurrentSince Jan 1, 2026 Accepting new patients
University Health System, Inc Gastroenterology CurrentSince Jan 14, 2022 Accepting new patients
Lester E Cox Medical Centers Current Accepting new patients
University Health System, Inc Internal Medicine Current Accepting new patients
County of Ventura CurrentSince May 18, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 13, 2025 Accepting new patients
West Hills Hospital Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Midwest Division - RMC, LLC Past Accepting new patients
Virginia Hospitalists Inc Internal Medicine Past Accepting new patients
Northeast Tennessee Emergency Physicians PC Past Accepting new patients
Wellmont Health System Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Cox HPS of the Ozarks, Inc. Past Accepting new patients

Locations

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

1449 E Bert Kouns Industrial Loop
Ste 101
Shreveport, LA 71105
Phone (318) 681-4282

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste M-302
Kalamazoo, MI 49007
Phone (269) 276-0000

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2330 E Meyer Blvd
Ste 301
Kansas City, MO 64132
Phone (816) 333-5424

1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037

3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482

3901 S Fremont Ave
Fl 4
Springfield, MO 65804
Phone (417) 875-3250

4200 W Memorial Rd
Ste 310
Oklahoma City, OK 73120
Phone (405) 749-4222

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1930 Alcoa Hwy
Ste 145
Knoxville, TN 37920
Phone (865) 544-6650

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1130 Middle Creek Rd
Ste 260
Sevierville, TN 37862
Phone (865) 428-7586

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

Interoperability endpoints

  • Direct secure messaging: pgholami1294161@direct.uclahealth.org
  • Direct secure messaging: pgholami627256@christushealth.direct-ci.net

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 7

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": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1740462464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24100 Calabasas Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913021636",
            "country_code": "US",
            "telephone_number": "818-809-7994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 S Fremont Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658046538",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1449 E Bert Koun Loop Ste 101",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055663",
            "country_code": "US",
            "telephone_number": "318-681-4282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOLAMI",
        "first_name": "PARVIZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ND",
            "license": "13385",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "64913",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "348758",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A101582",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101245692",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2024041759",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740462464",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740462464",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740462464",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.