NPIMap

Organization Active NPI

Cardiology & Vascular Associates

  • Cardiovascular Disease Physician
  • Tullahoma, TN
National Provider Identifier
1891152104
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
24987 Issued in TN
Legal business name
CARDIOLOGY & VASCULAR ASSOCIATES
Practice address
1801 N Jackson St
Suite 100
Tullahoma, TN 37388-2283
Phone
(931) 393-7831
NPI assigned
Jan 19, 2016
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Dr. Dinish K Gupta, MD
Title
Provider
Phone
(931) 393-7831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 24987 TN Primary

Addresses

Primary practice location

1801 N Jackson St
Suite 100
Tullahoma, TN 37388-2283

Mailing address

1801 N Jackson St
Suite 100
Tullahoma, TN 37388-8259
Phone (931) 393-7831

Other practice location 1

1330 Cedar Ln Ste 300
Tullahoma, TN 37388-3275
Phone (931) 393-7831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160211002875 TN Part B Supplier - Clinic/Group Practice 3779887781 Receives reassigned benefits from 10 practitioners
Practice locations: Tullahoma, TN

National Provider Directory

National Provider Directory

Locations

1330 Cedar Ln
Ste 300
Tullahoma, TN 37388
Phone (931) 393-7831

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1891152104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N JACKSON ST",
            "address_2": "SUITE 100",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888259",
            "telephone_number": "931-393-7831",
            "fax_number": "931-393-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N JACKSON ST",
            "address_2": "SUITE 100",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882283",
            "telephone_number": "931-393-7831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Cedar Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "373883275",
            "country_code": "US",
            "telephone_number": "931-393-7831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIOLOGY & VASCULAR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "DINISH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "931-393-7831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "24987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.