Individual provider Active NPI

Anand Nilay Popuri, D.O.

  • Pulmonary Disease Physician
  • Hermitage, TN
National Provider Identifier
1861754319
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4086 Issued in TN
Practice address
5651 Frist Blvd Ste 309
Hermitage, TN 37076-2057
Phone
(615) 250-6900
Fax
(615) 250-6904
NPI assigned
Jun 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4086 TN Primary

Addresses

Primary practice location

5651 Frist Blvd Ste 309
Hermitage, TN 37076-2057

Mailing address

3443 Dickerson Pike Ste 680
Nashville, TN 37207-2537
Phone (615) 250-6900

Other practice location 1

5401 Peach St Ste 3500
Erie, PA 16509-2601
Phone (814) 868-2179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180126002295 PA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8123336104
I20201207002314 TN Practitioner - Pulmonary Disease 8123336104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
New York College of Osteo Medicine of New York Institute of Technology, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middle Tennessee Pulmonary Associates LLCGroup PAC ID 8628090958, 10 clinicians

Practice addresses (Care Compare)

5651 Frist Blvd
Suite 213
Hermitage, TN 37076-2056
Phone (615) 250-6900

Hospital & facility affiliations

  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

Merit-based Incentive Payment System (MIPS)

Final score
22.38 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4086TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Pulmonary Associates, LLC Pulmonary Disease CurrentSince Nov 1, 2020 Accepting new patients

Locations

5651 Frist Blvd
Ste 213
Hermitage, TN 37076
Phone (615) 250-6900

5651 Frist Blvd
Ste 309
Hermitage, TN 37076
Phone (615) 250-6900

3443 Dickerson Pike
Ste 680
Nashville, TN 37207
Phone (615) 865-3322

Interoperability endpoints

  • Direct secure messaging: anandpopuri@mtpap.allscriptsdirect.net

Organizations & group practices 1

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1861754319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 680",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072537",
            "telephone_number": "615-250-6900",
            "fax_number": "615-250-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 309",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762057",
            "telephone_number": "615-250-6900",
            "fax_number": "615-250-6904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 Peach St Ste 3500",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165092601",
            "country_code": "US",
            "telephone_number": "814-868-2179",
            "fax_number": "814-868-2346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPURI",
        "first_name": "ANAND",
        "middle_name": "NILAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2020-12-02",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "4086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.