Individual provider Active NPI

Rahul Iyengar, MD

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1790363745
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67450 Issued in TN
Practice address
705 Merritt Ave
Nashville, TN 37203-6048
Phone
(615) 601-3600
NPI assigned
Mar 31, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 67450 TN Primary

Addresses

Primary practice location

705 Merritt Ave
Nashville, TN 37203-6048

Mailing address

705 Merritt Ave
Nashville, TN 37203-6048

Other practice location 1

225 S 11th St
Nashville, TN 37206-3119
Phone (615) 469-1065

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
I20240104000713 TN Practitioner - Family Practice 7012318496 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67450TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Medical Group CurrentSince Dec 3, 2023 Accepting new patients
Music City Physicians Group PLLC Past Accepting new patients
Iris Wound Care, PC Past Accepting new patients

Locations

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027
Phone (769) 333-8808

Interoperability endpoints

  • Direct secure messaging: rahul.iyengar.1@17956.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1790363745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MERRITT AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MERRITT AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036048",
            "telephone_number": "615-601-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372063119",
            "country_code": "US",
            "telephone_number": "615-469-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IYENGAR",
        "first_name": "RAHUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "67450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.