Individual provider Active NPI

Kenneth Niermann, MD

  • Radiation Oncology Physician
  • Nashville, TN
National Provider Identifier
1982751863
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD0000046217 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-5671
Phone
(615) 322-3000
NPI assigned
Jan 4, 2007
Last updated
Mar 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD0000046217 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-5671

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

1003 Reserve Blvd Ste 120
Spring Hill, TN 37174-3085
Phone (931) 380-1194

Other practice location 2

375 Alfred Thun Rd
Clarksville, TN 37040-5339
Phone (931) 221-0479

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kniermann30018@direct.vumc.org Direct
Direct Messaging Address ken.niermann@vumcRADONCJV.direct.varian.com Direct Vanderbilt-Ingram Cancer Center at Tennova Healthcare-Clarksville
Direct Messaging Address ken.niermann@vumcRADONCJV.direct.varian.com Direct Vanderbilt Maury Radiation Oncology, LLC

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
I20100816000072 TN Practitioner - Radiation Oncology 6002940954 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Vanderbilt University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanderbilt Maury Radiation Oncology, LLCGroup PAC ID 2961643168, 14 clinicians
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians
Vanderbilt-Ingram Cancer Center Clarksville, LLCGroup PAC ID 9830109123, 15 clinicians

Practice addresses (Care Compare)

1003 Reserve Blvd
Suite 120
Spring Hill, TN 37174-3085
Phone (931) 380-1194

1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000

2105 Edward Curd Lane
Franklin, TN 37067-5615
Phone (615) 794-8700

2107 Edward Curd Lane
Franklin, TN 37067-5615
Phone (615) 591-9890

375 Alfred Thun Rd
Clarksville, TN 37040-5339
Phone (931) 221-0479

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000046217TNMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Vanderbilt Maury Radiation Oncology, LLC CurrentSince Jul 1, 2013 Accepting new patients
Vanderbilt University Medical Center CurrentSince Apr 30, 2016 Accepting new patients
Vanderbilt-Ingram Cancer Center Clarksville, LLC Radiation Oncology CurrentSince Aug 15, 2010 Accepting new patients
Cookeville Regional Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Cookeville Regional Medical Center Past Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

Dept AT 40379
Atlanta, GA 31192

375 Alfred Thun Rd
Clarksville, TN 37040
Phone (931) 221-0479

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

919 Murfreesboro Rd
Franklin, TN 37064
Phone (615) 791-7373

1301 Medical Center Dr
#B902
Nashville, TN 37232

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

1003 Reserve Blvd
Spring Hill, TN 37174
Phone (615) 875-0358

1003 Reserve Blvd
Ste 120
Spring Hill, TN 37174
Phone (931) 380-1194

Interoperability endpoints

  • Direct secure messaging: ken.niermann@vumcradoncjv.direct.varian.com
  • Direct secure messaging: kniermann@vumcradoncjv.direct.varian.com
  • Direct secure messaging: kniermann30018@direct.vumc.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1982751863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372325671",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Reserve Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "TN",
            "postal_code": "371743085",
            "country_code": "US",
            "telephone_number": "931-380-1194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Alfred Thun Rd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370405339",
            "country_code": "US",
            "telephone_number": "931-221-0479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIERMANN",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "MD0000046217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kniermann30018@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "1301 Medical Center Dr",
            "address_2": "The Vanderbilt Clinic, TVC B-902",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372325671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ken.niermann@vumcRADONCJV.direct.varian.com",
            "affiliation": "Y",
            "affiliationName": "Vanderbilt-Ingram Cancer Center at Tennova Healthcare-Clarksville",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "375 Alfred Thun Road",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ken.niermann@vumcRADONCJV.direct.varian.com",
            "affiliation": "Y",
            "affiliationName": "Vanderbilt Maury Radiation Oncology, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "1003 Reserve Blvd",
            "address_2": "Suite 120",
            "city": "Spring Hill",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.