Active NPI
Farid Abdulrehman Thanawalla, M.D.
- Vascular & Interventional Radiology Physician
- Goodlettsville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 54593
- Practice address
- 919 Conference Dr Ste 4
Goodlettsville, TN 37072-1924 - Phone
- (615) 788-9324
- NPI assigned
- Feb 17, 2006
- Last updated
- Aug 31, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 56250 | CO | |
| Diagnostic Radiology Physician | 2085R0202X | 24890 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | 217086 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | MD18855 | HI | |
| Diagnostic Radiology Physician | 2085R0202X | 04-39312 | KS | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 79558 | GA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 54593 | TN | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 217086 | MA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 24890 | NE |
Addresses
Primary practice location
919 Conference Dr Ste 4
Goodlettsville, TN 37072-1924
Mailing address
919 Conference Dr
Suite #4, Box 167
Goodlettsville, TN 37072-1924
Phone (615) 788-9324
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770558496 | Medicaid | SD | |
| 87881730 | Medicaid | NM | |
| $$$$$$$$$ | Medicaid | NE | |
| 2015757 | Medicaid | MA | |
| 1770558496 | Medicaid | IA | |
| 82653844 | Medicaid | CO | |
| 200659440A | Medicaid | OK | |
| 191281 | Medicaid | AZ | |
| 201141130A | Medicaid | KS | |
| A35829 | Other | MA | MEDICARE ID |
| 1770558496 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IN, NY, TN, IL, FL, GA, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 31St Ave N
Apt 502
Nashville, TN 37203-1576
Phone (270) 796-5541
1818 Albion St
Nashville, TN 37208-2918
Phone (615) 341-4000
305 W Locust St
Lafayette, TN 37083-1712
Phone (615) 666-2147
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56250 | CO | MD | Diagnostic Radiology Physician |
| MD18855 | HI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Radiology, PC. | Diagnostic Radiology | Current | Accepting new patients |
| St Bernards Hospital Inc. | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Dynamic Radiology Tennessee, PC | Diagnostic Radiology | Current | Accepting new patients |
| Metropolitan Hospital Authority | Current | Accepting new patients | |
| Nashville Healthcare Diagnostic Center, LLC | Current | Accepting new patients | |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Phoebe Primary Care | Current | Accepting new patients | |
| Regional West Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Wachusett Radiology, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Gunnison Valley Hospital | Diagnostic Radiology | Past | Accepting new patients |
| Saint Francis Medical Center | Past | Accepting new patients | |
| Androscoggin Valley Hospital Inc | Family Medicine | Past | Accepting new patients |
| White River Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Umass Memorial Medical Group Inc | Family Medicine | Past | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| Grand Island Radiology Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Regional West Physicians Clinic | Past | Accepting new patients |
Locations
1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806
1100 W 2nd St
Oshkosh, NE 69154
Phone (308) 772-3283
3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355
4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384
1325 Highway 76
Clarksville, TN 37043
Phone (931) 358-6600
651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000
3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274
919 Conference Dr
Ste 4
Goodlettsvlle, TN 37072
Phone (615) 788-9324
Dept 888302
Knoxville, TN 37995
305 W Locust St
Lafayette, TN 37083
Phone (615) 666-2147
1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000
210 25th Ave N
Ste 1204
Nashville, TN 37203
Phone (615) 312-1479
4007 Clarksville Pike
Nashville, TN 37218
Phone (615) 341-4968
4007 Clarksville Pike
Ste 100
Nashville, TN 37218
Phone (615) 341-4000
Interoperability endpoints
- fthanawa@yourcarecommunity.org
Organizations & group practices 23
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.
-
- Diagnostic Radiology Physician
- Clarksville, TN
- NPI 1588387096
-
- Multi-Specialty Clinic/Center
- Nashville, TN
- NPI 1710206156
-
dba Med Center Health Radiology
- Diagnostic Radiology Physician
- Bowling Green, KY
- NPI 1689498107
TN
-
- Radiology Clinic/Center
- Nashville, TN
- NPI 1770262503
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1861478489
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Emergency Medicine Physician
- Scottsbluff, NE
- NPI 1982718219
Diagnostic Radiology, TN
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1396053096
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
GA
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1699072611
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1386698710
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Macon Community Hospital
- Critical Access Hospital
- Lafayette, TN
- NPI 1417938846
-
dba Metropolitan Nashville General Hospital
- General Acute Care Hospital
- Nashville, TN
- NPI 1568551455
-
dba The Medical Center at Russellville
- Rural Acute Care Hospital
- Russellville, KY
- NPI 1124868963
-
dba The Medical Center at Caverna
- Critical Access Hospital
- Horse Cave, KY
- NPI 1356716575
-
dba The Medical Center at Albany
- Critical Access Hospital
- Albany, KY
- NPI 1598125502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1770558496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 CONFERENCE DR",
"address_2": "SUITE #4, BOX 167",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370721924",
"telephone_number": "615-788-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 CONFERENCE DR STE 4",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370721924",
"telephone_number": "615-788-9324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THANAWALLA",
"first_name": "FARID",
"middle_name": "ABDULREHMAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "56250",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "24890",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "217086",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "MD18855",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "04-39312",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "79558",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TN",
"license": "54593",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MA",
"license": "217086",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NE",
"license": "24890",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770558496",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87881730",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "$$$$$$$$$",
"state": "NE"
},
{
"code": "05",
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"issuer": null,
"identifier": "2015757",
"state": "MA"
},
{
"code": "05",
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"issuer": null,
"identifier": "1770558496",
"state": "IA"
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{
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"issuer": null,
"identifier": "82653844",
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},
{
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"issuer": null,
"identifier": "200659440A",
"state": "OK"
},
{
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"issuer": null,
"identifier": "191281",
"state": "AZ"
},
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"issuer": null,
"identifier": "201141130A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "A35829",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770558496",
"state": "MT"
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],
"endpoints": [],
"other_names": []
}
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- The Wren Within
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.