Active NPI
John W Interlandi, MD
- Endocrinology, Diabetes & Metabolism Physician
- Hermitage, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 12079
- Practice address
- 3901 Central Pike Ste 555
Hermitage, TN 37076 - Phone
- (615) 874-9667
- Fax
- (615) 871-9682
- NPI assigned
- Sep 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 12079 | TN | Primary |
Addresses
Primary practice location
3901 Central Pike Ste 555
Hermitage, TN 37076
Mailing address
53 Century Blvd Ste 120
Nashville, TN 37214-3693
Phone (615) 346-6213
Other practice location 1
5651 Frist Blvd
Ste 415
Hermitage, TN 37076-2054
Phone (615) 871-7258
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3186316 | Medicaid | TN | |
| 6060183 | Other | TN | BLUE CROSS BLUE SHIELD |
| Q019961 | Medicaid | TN |
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
- Endocrinology
- Education
- Vanderbilt University School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1420 W Baddour Pkwy
Suite 200
Lebanon, TN 37087-1510
Phone (615) 444-4126
Hospital & facility affiliations
- Tristar Summit Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradshaw Medical Clinic, PC | Past | Accepting new patients | |
| Vanderbilt University | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IAGIAD
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Lebanon, TN
- NPI 1477044717
-
- Adult Health Clinical Nurse Specialist
- Nashville, TN
- NPI 1376994657
-
- Clinic/Center
- Lebanon, TN
- NPI 1255406450
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1235154972
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hermitage, TN
- NPI 1982650024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1992790174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 CENTURY BLVD STE 120",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143693",
"telephone_number": "615-346-6213",
"fax_number": "615-346-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 CENTRAL PIKE STE 555",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "37076",
"telephone_number": "615-874-9667",
"fax_number": "615-871-9682"
}
],
"practiceLocations": [
{
"address_1": "5651 Frist Blvd",
"address_2": "Ste 415",
"address_purpose": "LOCATION",
"city": "Hermitage",
"state": "TN",
"postal_code": "370762054",
"country_code": "US",
"telephone_number": "615-871-7258",
"fax_number": "614-871-4982",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INTERLANDI",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TN",
"license": "12079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3186316",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "6060183",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q019961",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.