Organization Active NPI

Tristar Radiation Oncology, LLC

  • Radiation Oncology Physician
  • Nashville, TN
National Provider Identifier
1952652414
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
TRISTAR RADIATION ONCOLOGY, LLC
Practice address
2410 Patterson St
Nashville, TN 37203-1551
Phone
(615) 342-4850
NPI assigned
Sep 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Authorized official

Name
Daniel Sykes
Title
VP
Phone
(615) 342-6878

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary
Radiation Oncology Clinic/Center 261QX0203X
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

2410 Patterson St
Nashville, TN 37203-1551

Mailing address

2410 Patterson St
Nashville, TN 37203-1551
Phone (615) 342-4850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121218000288 TN Part B Supplier - Clinic/Group Practice 7810149952 Receives reassigned benefits from 3 practitioners
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

2410 Patterson St
Nashville, TN 37203
Phone (615) 342-4850

2410 Patterson St
Ste 500
Nashville, TN 37203
Phone (615) 340-4611

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1952652414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 PATTERSON ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031551",
            "telephone_number": "615-342-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 PATTERSON ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031551",
            "telephone_number": "615-342-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR RADIATION ONCOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-342-6878"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.