Individual provider Active NPI

Vincent A Viscomi, MD

  • Pulmonary Disease Physician
  • Chattanooga, TN
National Provider Identifier
1982689493
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
20018 Issued in TN
Practice address
725 Glenwood Drive
Suite E-680
Chattanooga, TN 37404-1176
Phone
(423) 495-7378
Fax
(423) 495-4425
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 20018 TN Primary

Addresses

Primary practice location

725 Glenwood Drive
Suite E-680
Chattanooga, TN 37404-1176

Mailing address

PO Box 24325
Chattanooga, TN 37422-4325
Phone (423) 495-7378

Other identifiers 2

IdentifierTypeStateIssuer
000412739CMedicaidGA
3049230MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040805000031 TN Practitioner - Pulmonary Disease 7416928197 Reassigns benefits to 2 organizations
I20060123000074 GA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 7416928197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Sleep Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4700 Battlefield Pkwy
Suite 310
Ringgold, GA 30736-5169
Phone (423) 697-0072

725 Glenwood Dr
Suite E588
Chattanooga, TN 37404-1176
Phone (423) 495-7378

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation, Inc CurrentSince Jun 1, 2020 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Jun 1, 2020 Accepting new patients
Vincent a. Viscomi, MD PC Pulmonary Disease CurrentSince Jan 1, 2002 Accepting new patients

Locations

3063 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 841-7274

100 Gross Crescent Cir
Ste 205
Ft Oglethorpe, GA 30742
Phone (706) 858-1195

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

83 Crye Leike Dr
Ft Oglethorpe, GA 30742
Phone (423) 710-3864

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

4700 Battlefield Pkwy
Ste 310
Ringgold, GA 30736
Phone (706) 419-8086

709 Walnut St
Chattanooga, TN 37402
Phone (423) 266-7721

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

725 Glenwood Dr
Ste E680
Chattanooga, TN 37404
Phone (423) 206-4140

725 Glenwood Dr
Ste E588
Chattanooga, TN 37404
Phone (423) 206-9025

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

7405 Shallowford Rd
Ste 360
Chattanooga, TN 37421
Phone (423) 228-0579

Interoperability endpoints

  • Direct secure messaging: vviscomi135585@direct.stlukeshealth.org

Organizations & group practices 3

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 3

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1982689493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24325",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374224325",
            "telephone_number": "423-495-7378",
            "fax_number": "423-495-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DRIVE",
            "address_2": "SUITE E-680",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041176",
            "telephone_number": "423-495-7378",
            "fax_number": "423-495-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCOMI",
        "first_name": "VINCENT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "20018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000412739C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3049230",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.