Active NPI
Roger N Passmore, MD
- Orthopaedic Surgery Physician
- Hermitage, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 32048
- Practice address
- 5651 Frist Blvd
Suite 200
Hermitage, TN 37076-2054 - Phone
- (615) 885-0200
- Fax
- (615) 885-0267
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 32048 | TN | |
| Orthopaedic Surgery Physician | 207X00000X | 32048 | TN | Primary |
Addresses
Primary practice location
5651 Frist Blvd
Suite 200
Hermitage, TN 37076-2054
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 855-6033
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3863282 | Medicaid | TN | |
| 4013081 | Other | TN | BCBS |
| 4347485 | Other | TN | BCBS |
| Q000313 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Undersea and Hyperbaric Medicine
- Education
- Medical University of South Carolina College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 Hospital Way
Pocatello, ID 83201-5175
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Advanced Diagnostic Imaging, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Privia Medical Group Tennessee LLC | Current | Accepting new patients | |
| Privia Medical Group Tennessee LLC | Current | Accepting new patients | |
| Advanced Diagnostic Imaging PC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Premier Orthopaedics & Sports Medicine, PLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
777 Hospital Way
Ste G1
Pocatello, ID 83201
Phone (208) 234-2001
777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640
3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018
5651 Frist Blvd
Ste 200
Hermitage, TN 37076
Phone (615) 885-0200
1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181
3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146
Interoperability endpoints
- rpassmore1092213@ahs.direct-ci.com
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1689802852
-
- Family Medicine Physician
- Nashville, TN
- NPI 1376110858
-
- Durable Medical Equipment & Medical Supplies
- Lewisburg, TN
- NPI 1922846559
-
- Internal Medicine Physician
- Goodlettsville, TN
- NPI 1093741464
Orthopaedic Surgery
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Nashville, TN
- NPI 1215694229
-
- Durable Medical Equipment & Medical Supplies
- Pocatello, ID
- NPI 1154089126
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1215165485
-
- Durable Medical Equipment & Medical Supplies
- Murfreesboro, TN
- NPI 1861029084
Orthopaedic Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1861482259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 BUSINESS PARK CIR",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370723132",
"telephone_number": "615-855-6033",
"fax_number": "615-296-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5651 FRIST BLVD",
"address_2": "SUITE 200",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370762054",
"telephone_number": "615-885-0200",
"fax_number": "615-885-0267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSMORE",
"first_name": "ROGER",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "TN",
"license": "32048",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "32048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3863282",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4013081",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4347485",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q000313",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.