Active NPI
Terry Robert Ketch, M.D.
- Cardiovascular Disease Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 31153
- Practice address
- 3443 Dickerson Pike Ste 430
Nashville, TN 37207-2524 - Phone
- (615) 868-0352
- Fax
- (615) 868-4076
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2006-01296 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | 31153 | TN | Primary |
Addresses
Primary practice location
3443 Dickerson Pike Ste 430
Nashville, TN 37207-2524
Mailing address
3443 Dickerson Pike Ste 430
Nashville, TN 37207-2524
Phone (615) 868-0352
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1514207 | Medicaid | TN | |
| 4232884 | Other | TN | BCBS-TN |
| 3041819 | Medicaid | TN | |
| P00727334 | Other | TN | RR MEDICARE |
| 7100092060 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | TERRY.KETCH@hca1.eclinicaldirectplus.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Vanderbilt University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3443 Dickerson Pike
Suite 430
Nashville, TN 37207-2524
Phone (615) 824-0043
Hospital & facility affiliations
- Tristar Skyline Medical Center
- Tristar Hendersonville Medical Center
- Tristar Northcrest Medical Center
- Tristar Centennial Medical Center
- Highpoint Health-Sumner With Ascension Saint Thoma
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.52 of 100
- Quality
- 56.54
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 79.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-01296 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tristar Tennessee Heart and Vascular LLC | Cardiovascular Disease | Current | Accepting new patients |
| Saint Thomas Cardiology Consultants, PC | Cardiovascular Disease | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
300 Steam Plant Rd
Ste 270
Gallatin, TN 37066
Phone (615) 230-6435
3443 Dickerson Pike
Ste 430
Nashville, TN 37207
Phone (615) 515-1980
6294 Highway 41A
Pleasant View, TN 37146
Phone (615) 746-8872
Interoperability endpoints
- terry.ketch@hca1.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Hendersonville, TN
- NPI 1114708906
-
- Cardiovascular Disease Physician
- Nashville, TN
- NPI 1871607580
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
-
- General Acute Care Hospital
- Hendersonville, TN
- NPI 1538114434
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1295780476
-
- General Acute Care Hospital
- Springfield, TN
- NPI 1093397184
-
- General Acute Care Hospital
- Gallatin, TN
- NPI 1447571658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1972658060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE STE 430",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072524",
"telephone_number": "615-868-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE STE 430",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072524",
"telephone_number": "615-868-0352",
"fax_number": "615-868-4076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETCH",
"first_name": "TERRY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2006-01296",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "31153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1514207",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-TN",
"identifier": "4232884",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3041819",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00727334",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100092060",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "TERRY.KETCH@hca1.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "3443 Dickerson Pike Ste 430",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372072524",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 13, 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.