Individual provider Active NPI

Jatin K Kadakia, MD

  • Pulmonary Disease Physician
  • Clarksville, TN
National Provider Identifier
1831262385
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25152 Issued in TN
Practice address
311 Landrum PL
Suite 700
Clarksville, TN 37043
Phone
(931) 648-8314
Fax
(931) 647-3841
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 25152 TN
Pulmonary Disease Physician 207RP1001X 25152 TN Primary

Addresses

Primary practice location

311 Landrum PL
Suite 700
Clarksville, TN 37043

Mailing address

311 Landrum PL
Suite 700
Clarksville, TN 37043
Phone (931) 648-8314

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
I20040828000203 TN Practitioner - Internal Medicine 3870568389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clarksville Pulmonary and Critical Care, PCGroup PAC ID 2163655630, 2 clinicians

Practice addresses (Care Compare)

311 Landrum PL
Clarksville, TN 37043-6319

Hospital & facility affiliations

  • Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035
  • Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as individual
Quality
83.84
Promoting interoperability
100
Improvement activities
40
Cost
72.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25152TNMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Sleepdisorders Center CurrentSince Dec 17, 2001 Accepting new patients
Clarksville Pulmonary & Critical Care, PC Critical Care Medicine CurrentSince May 1, 2014 Accepting new patients

Locations

311 Landrum Pl
#800
Clarksville, TN 37043
Phone (931) 245-2100

311 Landrum Pl
Ste 800
Clarksville, TN 37043
Phone (931) 245-2100

311 Landrum Pl
Ste 700
Clarksville, TN 37043
Phone (931) 648-8314

311 Landrum Pl
#700
Clarksville, TN 37043
Phone (931) 648-8314

Interoperability endpoints

  • Direct secure messaging: jatin.kadakia.2@8780.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8780/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jatin.kadakia.1@8780.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1831262385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LANDRUM PL",
            "address_2": "SUITE 700",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37043",
            "telephone_number": "931-648-8314",
            "fax_number": "931-647-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LANDRUM PL",
            "address_2": "SUITE 700",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37043",
            "telephone_number": "931-648-8314",
            "fax_number": "931-647-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADAKIA",
        "first_name": "JATIN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "TN",
            "license": "25152",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "25152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.