Stacey Louise Vallejo, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

039104 Issued in TN

Practice address

4230 Harding Rd
Suite 400
Nashville, TN 37205-2013

Phone

(615) 297-2700

Fax

(615) 269-4584

NPI assigned

Oct 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 7

Other names 1

• Stacey Louise Kamar Former name

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine

Education

Tulane University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
• Saint Thomas River Park Hospital Hospital, McMinnville, TN, CCN 440151
• Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039
• Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053
• West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
• Select Specialty Hospital-Nashville Long-term care hospital, Nashville, TN, CCN 442011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacey.vallejo@stmg.eclinicaldirectplus.com

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.

• Advanced Diagnostic Imaging, PC

  dba AdvancedHealth

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464
  Medicare reassignment Care Compare group NPD
• Advanced Diagnostic Imaging PC

  dba Ankle and Foot Centers of Nashville

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD
• Graves Gilbert Clinic PLLC

  dba GGC Rural Health Clinic Cave City

  • Rural Health Clinic/Center
  • Cave City, KY
  • NPI 1104635663
  NPD
• Graves Gilbert Clinic PLLC

  dba Graves Gilbert Clinic

  • Specialist
  • Bowling Green, KY
  • NPI 1114948288
  NPD
• Saint Thomas West Hospital

  dba Ascension Saint Thomas Hospital

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1629025648
  NPD (past)
• Select Specialty Hospital - Nashville LLC

  • Long Term Care Hospital
  • Nashville, TN
  • NPI 1215937982
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Thomas River Park Hospital, LLC

  dba Ascension Saint Thomas River Park

  • General Acute Care Hospital
  • McMinnville, TN
  • NPI 1518346469
  Care Compare affiliation
• Saint Thomas River Park Hospital, LLC

  dba Ascension Saint Thomas River Park

  • Ambulatory Surgical Clinic/Center
  • McMinnville, TN
  • NPI 1558742304

  Hospital

  Care Compare affiliation
• Saint Thomas Rutherford Hospital

  dba Ascension Saint Thomas Rutherford

  • General Acute Care Hospital
  • Murfreesboro, TN
  • NPI 1164590386
  Care Compare affiliation
• Saint Thomas West Hospital

  dba Ascension Saint Thomas Hospital

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1629025648
  Care Compare affiliation
• Select Specialty Hospital - Nashville LLC

  • Long Term Care Hospital
  • Nashville, TN
  • NPI 1215937982

  Long-term care hospital

  Care Compare affiliation
• Vanderbilt University Medical Center

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1396882205
  Care Compare affiliation
• West Tennessee Healthcare Henry County

  dba West Tennessee Healthcare County Hospital

  • General Acute Care Hospital
  • Paris, TN
  • NPI 1497750244
  Care Compare affiliation

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1831289255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD",
            "address_2": "SUITE LL50",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "615-386-2300",
            "fax_number": "615-386-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING RD",
            "address_2": "SUITE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052013",
            "telephone_number": "615-297-2700",
            "fax_number": "615-269-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "STACEY",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "28958",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "039104",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "039104",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "039104",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "4265773",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100119610",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00837678",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01354639",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1437936",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9106527",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517642",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "KAMAR",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pieter Valk
• Claudia Gabriela Valle Carranza, PHARMD
• Annalise Claire Valle, AUD
• Stephanie Valle
• Frederic Anthony Vallejo, MD, MS
• Victor A Vallejo, MD
• Danelle A Vallejos, RD
• John Vallesillo, SLP-CCC
• Adriana Maria Valtierra, M.S., CCC-SLP
• Sara Van Alstine, RN

• Pulmonary Disease Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Pulmonary Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.

Verify at the official NPI Registry.