NPIMap

Individual provider Active NPI

Vilayvanh Saysoukha, DPM, MS

  • Foot & Ankle Surgery Podiatrist
  • McMinnville, TN
National Provider Identifier
1750763900
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
841 Issued in TN
Practice address
1428 Sparta St Ste 4
McMinnville, TN 37110-1365
Phone
(931) 507-3668
NPI assigned
Jun 24, 2015
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 841 TN Primary

Addresses

Primary practice location

1428 Sparta St Ste 4
McMinnville, TN 37110-1365

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

1725 Medical Center Pkwy Ste 130
Murfreesboro, TN 37129-2248
Phone (615) 801-8999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181008002180 TN Practitioner - Podiatry 8820340524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue134
Removal of skin lesions1-10
Removal of nail tissue77
Removal or shaving of skin growth31
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Single Specialty CurrentSince May 1, 2021 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince May 1, 2021 Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

5651 Frist Blvd
Ste 200
Hermitage, TN 37076
Phone (615) 885-0200

1428 Sparta St
Ste 4
McMinnville, TN 37110
Phone (931) 507-3668

121 Bear Xing
Ste 300
Mt Juliet, TN 37122
Phone (615) 885-0200

1725 Medical Center Pkwy
Ste 130
Murfreesboro, TN 37129
Phone (615) 217-0259

1725 Medical Center Pkwy
Ste 220
Murfreesboro, TN 37129
Phone (615) 217-0259

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: vilayvanh.saysoukha@ahp.eclinicaldirectplus.com

Organizations & group practices 2

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 10

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1750763900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 SPARTA ST STE 4",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101365",
            "telephone_number": "931-507-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Medical Center Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292248",
            "country_code": "US",
            "telephone_number": "615-801-8999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAYSOUKHA",
        "first_name": "VILAYVANH",
        "name_prefix": "Dr.",
        "credential": "DPM, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

Verify at the official NPI Registry.