Individual provider Active NPI

Terry Robert Ketch, M.D.

  • Cardiovascular Disease Physician
  • Nashville, TN
National Provider Identifier
1972658060
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
31153 Issued in TN
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

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1514207MedicaidTN
4232884OtherTNBCBS-TN
3041819MedicaidTN
P00727334OtherTNRR MEDICARE
7100092060MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090711000032 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 6608976154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Vanderbilt University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristar Tennessee Heart and Vascular LLCGroup PAC ID 2567811474, 22 clinicians

Practice addresses (Care Compare)

3443 Dickerson Pike
Suite 430
Nashville, TN 37207-2524
Phone (615) 824-0043

Hospital & facility affiliations

  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

Merit-based Incentive Payment System (MIPS)

Final score
80.52 of 100Reported as group
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

LicenseStateTypeSpecialty
2006-01296NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tristar Tennessee Heart and Vascular LLC Cardiovascular Disease CurrentSince Jan 1, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.