Individual provider Active NPI

Irina Gagua, MD

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1811135841
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
70290 Issued in TN
Practice address
4230 Harding Pike Ste 500
Nashville, TN 37205-4903
Phone
(629) 255-2087
Fax
(629) 255-4271
NPI assigned
Jan 29, 2009
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 70290 TN Primary

Addresses

Primary practice location

4230 Harding Pike Ste 500
Nashville, TN 37205-4903

Mailing address

222 22ND Ave N
Nashville, TN 37203-1852
Phone (629) 255-3486

Other identifiers 2

IdentifierTypeStateIssuer
70290OtherTNLICENSE
35.127337OtherOHLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20091118000436 KY Practitioner - Internal Medicine 7012055619 Reassigns benefits to 1 organization
I20151217000761 OH Practitioner - Internal MedicinePractitioner - Hospitalist 7012055619 Reassigns benefits to 1 organization
I20240521004221 TN Practitioner - Internal Medicine 7012055619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kentucky College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heritage Medical Associates PCGroup PAC ID 4688651037, 162 clinicians

Practice addresses (Care Compare)

4230 Harding Pike
Suite 500
Nashville, TN 37205-4903
Phone (629) 255-2155

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70290TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 11, 2016 Accepting new patients
Trihealth G LLC Internal Medicine CurrentSince Jan 11, 2016 Accepting new patients
Heritage Medical Associates PC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Oct 27, 2015 Accepting new patients
Heritage Medical Associates PC CurrentSince Jul 1, 2024 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Oct 27, 2015 Accepting new patients

Locations

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

379 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-1400

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

10495 Montgomery Rd
Ste 15
Montgomery, OH 45242
Phone (513) 936-8900

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

222 22nd Ave N
Nashville, TN 37203
Phone (629) 255-2620

4230 Harding Pike
Ste 500
Nashville, TN 37205
Phone (629) 255-2087

Interoperability endpoints

  • Direct secure messaging: igagua228371@direct.trihealth.com
  • Direct secure messaging: irinagagua@hma.allscriptsdirect.net

Organizations & group practices 6

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 3

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": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1811135841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "629-255-3486",
            "fax_number": "629-255-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054903",
            "telephone_number": "629-255-2087",
            "fax_number": "629-255-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGUA",
        "first_name": "IRINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "70290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "70290",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35.127337",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.