Individual provider Active NPI

Mark G Heidel, M.D.

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1962729418
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
51205 Issued in TN
Practice address
1310 24TH Ave S
Nashville, TN 37212-2637
Phone
(615) 873-7765
NPI assigned
Apr 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 51205 TN Primary

Addresses

Primary practice location

1310 24TH Ave S
Nashville, TN 37212-2637

Mailing address

1310 24TH Ave S
Nashville, TN 37212-2637
Phone (615) 873-7765

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140805000974 TN Practitioner - Diagnostic Radiology 1254558836 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Meharry Medical College School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Practice addresses (Care Compare)

1826 Burland Cres
Brentwood, TN 37027-5399
Phone 61421018851403

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
  • Tristar Southern Hills Medical Center Hospital, Nashville, TN, CCN 440197
  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients

Locations

2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

28 White Bridge Pike
Ste 104
Nashville, TN 37205

1310 24th Ave S
Nashville, TN 37212
Phone (615) 225-3700

12554 Riata Vista Cir
Fl 1
Austin, TX 78727

Organizations & group practices 5

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 5

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1962729418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 24TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122637",
            "telephone_number": "615-873-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 24TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122637",
            "telephone_number": "615-873-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDEL",
        "first_name": "MARK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "51205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.