Individual provider Active NPI

Michael Douglas Hellman Jr., DO

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1750673083
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3198 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
May 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 3198 TN Primary

Addresses

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 identifiers 1

IdentifierTypeStateIssuer
Q028879MedicaidTN

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
I20170919002629 TN Practitioner - General Practice 8224354733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Radiology Associates PLLCGroup PAC ID 7214913649, 41 clinicians
Spring Hill Imaging Center, LLCGroup PAC ID 3577666536, 16 clinicians

Practice addresses (Care Compare)

1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 381-1111

5421 Main St
Suite C
Spring Hill, TN 37174-4410
Phone (931) 486-3425

Hospital & facility affiliations

  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
  • Marshall Medical Center Hospital, Lewisburg, TN, CCN 441309
  • Wayne Medical Center Hospital, Waynesboro, TN, CCN 440780
  • Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039
  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029

Merit-based Incentive Payment System (MIPS)

Final score
97.31 of 100Reported as group
Quality
94.63
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.58 of 100Reported as group
Quality
83.16
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Spring Hill Imaging Center LLC CurrentSince Aug 1, 2022 Accepting new patients
Southern Radiology Associates, PLLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients

Locations

1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072

210 25th Ave N
Ste 602
Nashville, TN 37203
Phone (615) 312-0604

210 25th Ave N
Ste 1204
Nashville, TN 37203
Phone (615) 312-1479

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

Organizations & group practices 3

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 6

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750673083",
    "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": [],
    "basic": {
        "last_name": "HELLMAN",
        "first_name": "MICHAEL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "3198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028879",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.