Abu S Fakhruddin, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD26195 Issued in TN

Practice address

330 23Rd Ave N
Suite 300
Nashville, TN 37203-1534

Phone

(615) 342-5900

Fax

(615) 342-7898

NPI assigned

Sep 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

Gastroenterology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Medical Group - the Frist Clinic IncGroup PAC ID 7517854508, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
• Tristar Horizon Medical Center Hospital, Dickson, TN, CCN 440046
• Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150

Merit-based Incentive Payment System (MIPS)

Final score

85.95 of 100Reported as individual

Quality

86.81

Improvement activities

40

Cost

77.34

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Columbia Medical Group - the Frist Clinic Inc

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1679560023

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• Madison Psychiatric Assts, P.C.

  • Mental Health Counselor
  • Goodlettsville, TN
  • NPI 1245375906
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Tennessee Hospital Corporation

  • General Acute Care Hospital
  • Dickson, TN
  • NPI 1871530832
  Care Compare affiliation
• HCA Health Services of Tennessee, Inc.

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1023055126
  Care Compare affiliation
• HCA Health Services of Tennessee, Inc.

  • General Acute Care Hospital
  • Hermitage, TN
  • NPI 1982650024
  Care Compare affiliation

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1962497867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N",
            "address_2": "SUITE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031534",
            "telephone_number": "615-342-5900",
            "fax_number": "615-342-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N",
            "address_2": "SUITE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031534",
            "telephone_number": "615-342-5900",
            "fax_number": "615-342-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHRUDDIN",
        "first_name": "ABU",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD26195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3805808",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64032071",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "100015511",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ABU.FAKHRUDDIN@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "330 23rd Ave N",
            "address_2": "SUITE 300",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372031534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Faithful Transportation Services LLC
• Faithway Transportation
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• Amna Fakhar
• Jessica Marie Fakhoury
• Carrie Lynn Falasca, DNP CRNA
• Ashley Falconberry
• Danielle E Falconer, PHARMD
• Robert J Fallis, MD
• Samuel Macdonald Fallon, MD

• Gastroenterology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.

Verify at the official NPI Registry.