Robert S. Amonette, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Springfield, TN
NPI 1851335012 · NPPES record last updated Jul 28, 2008
Key facts
- NPI
- 1851335012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 38892 (TN)
- Practice address
- 100 Northcrest Dr
Springfield, TN 37172-3927 - Phone
- (615) 384-1531
- Fax
- (615) 382-3823
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- East Tennessee State University Quillen College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bowling Green-Warren County Community Hospital Corporation
Practice addresses (Care Compare)
250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1000
Hospital & facility affiliations
- The Medical Center (Bowling Green)
- The Medical Center at Scottsville
- The Medical Center at Franklin
- Caverna Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.64 of 100
- Quality
- 33.77
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060707000162 | TN | Practitioner - Diagnostic Radiology | 8729090980 | |
| I20080507000364 | KY | Practitioner - Diagnostic Radiology | 8729090980 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38892 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowling Green-Warren County Community Hospital Corporation | Current |
Accepting new patients | |
| Springfield Radiology Associates, PC | Diagnostic Radiology | Current |
Accepting new patients |
| Bowling Green-Warren County Community Hospital Corporation | Diagnostic Radiology | Current |
Accepting new patients |
Locations
825 2nd Ave
Bowling Green, KY 42101
Phone (270) 780-2650
1635 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 745-9500
250 Park St
Fl 6
Bowling Green, KY 42101
Phone (270) 796-6200
825 2nd Ave
Ste C2
Bowling Green, KY 42101
Phone (270) 780-2750
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
1020 S Main St
Franklin, KY 42134
Phone (270) 586-8947
1100 Brookhaven Rd
Franklin, KY 42134
Phone (270) 586-3253
456 Burnley Rd
Scottsville, KY 42164
Phone (270) 622-2800
100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 38892 | TN | Yes |
Addresses
Primary practice location
100 Northcrest Dr
Springfield, TN 37172-3927
Mailing address
PO Box 3125
Clarksville, TN 37043-3125
Phone (931) 647-5034
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3338940 | Medicaid | TN | |
| 4181780 | Other | TN | BCBS PROVIDER NUMBER |
| 4181780 | Other | TN | TNCARE SELECT |
| 000000565639 | Other | KY | ANTHEM BCBS |
| 6412175900 | Medicaid | KY |
Other providers in Springfield, TN
- Tammy Lynn Albright
- Jessica Lynn Alden
- Rebecca Alexander
- Gracelyn Allison
- Marcus Alvarez
- Love Anani
- Crystal Dawn Arellano I
- Ark Transportation Services LLC
- Briana Arnett
- Bridgett L Augustino-Wilke
All providers in Springfield, TN · Diagnostic Radiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.