Active NPI
Stephen Ernest Depasquale, M.D.
- Gynecologic Oncology Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 35113
- Practice address
- 102 Central Avenue
Chattanooga, TN 37403-1503 - Phone
- (423) 266-3636
- Fax
- (423) 266-3633
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 35113 | TN | Primary |
| Gynecologic Oncology Physician | 207VX0201X | 50154 | GA |
Addresses
Primary practice location
102 Central Avenue
Chattanooga, TN 37403-1503
Mailing address
102 Central Ave
Chattanooga, TN 37403-2136
Phone (423) 266-3636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000932071C | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Central Ave
Chattanooga, TN 37403-1503
Phone (423) 266-3636
2600 Taft Hwy
Suite 100
Signal Mountain, TN 37377-2777
Phone (423) 778-9434
Hospital & facility affiliations
- North Georgia Home Health Agency, an Amedysis Comp
- Amedisys Home Health Chattanooga
- Erlanger Medical Center
- Memorial Healthcare System, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of the uterus | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35113 | TN | MD | Pharmacist |
| 50154 | GA | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erlanger Health | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Chattanoogas Program in Womens Oncology Inc | Gynecologic Oncology | Current | Accepting new patients |
| Erlanger Health | Past | Accepting new patients |
Locations
100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301
1000 E 3rd St
Ste 201
Chattanooga, TN 37403
Phone (423) 698-2050
102 Central Ave
Chattanooga, TN 37403
Phone (423) 266-3636
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
979 E 3rd St
Ste C725
Chattanooga, TN 37403
Phone (423) 756-4796
2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434
Interoperability endpoints
- stephen.depasquale.1@633.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1477256303
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
-
- Gynecologic Oncology Physician
- Chattanooga, TN
- NPI 1811072689
-
- Medicare Defined Swing Bed Hospital Unit
- Pikeville, TN
- NPI 1073622007
-
- Federally Qualified Health Center (FQHC)
- Chattanooga, TN
- NPI 1609961549
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1740073329
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chattanooga, TN
- NPI 1326096009
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
-
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
- Home Health Agency
- Ringgold, GA
- NPI 1548218290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1801848320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CENTRAL AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032136",
"telephone_number": "423-266-3636",
"fax_number": "423-266-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CENTRAL AVENUE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374031503",
"telephone_number": "423-266-3636",
"fax_number": "423-266-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPASQUALE",
"first_name": "STEPHEN",
"middle_name": "ERNEST",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "TN",
"license": "35113",
"primary": true
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "GA",
"license": "50154",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000932071C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.