Organization Active NPI

Concertocare Medical Group of Tennessee, PC

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1780423863
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CONCERTOCARE MEDICAL GROUP OF TENNESSEE, PC
Practice address
3200 W End Ave Ste 500
Nashville, TN 37203-1322
Phone
(877) 597-1440
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Hisham Yousif, MDNPI 1548623648
Title
Owner/President
Phone
(480) 227-9166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3200 W End Ave Ste 500
Nashville, TN 37203-1322

Mailing address

PO Box 801280
Kansas City, MO 64180-1280
Phone (877) 597-1440

Other practice location 1

1991 Industrial Dr
Deland, FL 32724-2039
Phone (386) 221-4446

Other practice location 2

3499 Blazer Pkwy Ste 330
Lexington, KY 40509-2828
Phone (859) 453-0211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20240726000086 TN Part B Supplier - Clinic/Group Practice 5496291486 Receives reassigned benefits from 4 practitioners
Practice locations: Nashville, TN
O20250314003170 KY Part B Supplier - Clinic/Group Practice 5496291486 Receives reassigned benefits from 14 practitioners
Practice locations: Lexington, KY
O20250909004547 FL Part B Supplier - Clinic/Group Practice 5496291486 Receives reassigned benefits from 8 practitioners
Practice locations: Maitland, FL; Deland, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2341331Concertocare Medical Group1991 Industrial Drive Suite 109, Deland, FL 32724Certificate of waiverMar 31, 2028
18D2320673Concertocare Medical Group of Tennessee, PC3499 Blazer Parkway, Suite 330, Lexington, KY 40509Certificate of waiverMar 20, 2027
44D2313512Concertocare Medical Group of Tennessee, PC3200 W End Avenue, Suite 500, Nashville, TN 37203Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory

Locations

1991 Industrial Dr
Ste 109
Deland, FL 32724

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1780423863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801280",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801280",
            "telephone_number": "877-597-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W END AVE STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031322",
            "telephone_number": "877-597-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1991 Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327242039",
            "country_code": "US",
            "telephone_number": "386-221-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3499 Blazer Pkwy Ste 330",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092828",
            "country_code": "US",
            "telephone_number": "859-453-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONCERTOCARE MEDICAL GROUP OF TENNESSEE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "YOUSIF",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "480-227-9166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.