Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1013004142

Unknown Individual is a healthcare provider. based in Nashville, Tennessee. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. MD32068 (TN). The NPI Number for Unknown Individual is 1013004142

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013004142
Phone
(615) 322-3000
Address
3601 TVC
Deactivation Date
1 April 2022

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
6157911103
Graduation Year
1998 (28 years ago)
PAC ID
7719015890
Group Practice PAC ID
5092023416
Professional Enrollment ID
I20100511000518

Contacts

Secure Messaging
mfowler22899@direct.vumc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 3601 TVC

    NASHVILLE, TN 372320001

    Phone: (615) 322-3000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37232)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092023416View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Pediatric MedicineTN
-TN
Diagnostic Radiology, Interventional Pain ManagementTN
Certified Registered Nurse Anesthetist (Crna)TN
N E U R O L O G YTN
-TN
-TN
Physician AssistantTN
Internal MedicineTN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1013004142 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Endocrinology, Diabetes & Metabolism Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Nashville, Tennessee as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

CHERYL A FASSLER (M.D.)

Endocrinology, Diabetes & Metabolism Physician
222, 22nd Avenue North, Nashville, Davidson County, Tennessee, 37203, United States
NPI: 1508862939
1249 15th St
NPI: 1174524409

DR. BRIAN S APRILL (MD)

Endocrinology, Diabetes & Metabolism Physician
330, 23rd Avenue North, Nashville, Davidson County, Middle Tennessee, Tennessee, 37203, United States
NPI: 1588659023

MR. JOHN W INTERLANDI (MD)

Endocrinology, Diabetes & Metabolism Physician
53 CENTURY BLVD STE 120
NPI: 1992790174

MR. MICHAEL G CARLSON (MD)

Endocrinology, Diabetes & Metabolism Physician
330, 23rd Avenue North, Nashville, Davidson County, Middle Tennessee, Tennessee, 37203, United States
NPI: 1386639219

dba The Frist Clinic

Internal Medicine Physician
2400, Patterson Street, Nashville, Davidson County, Middle Tennessee, Tennessee, 37203, United States
NPI: 1679560023

CRAIG WIERUM (M.D.)

Endocrinology, Diabetes & Metabolism Physician
222 22nd Ave N
NPI: 1609867233