Farid Abdulrehman Thanawalla, MD in Goodlettsville, TN

Farid Abdulrehman Thanawalla, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Goodlettsville, Tennessee. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Dynamic Radiology Tennessee Pc, Metropolitan Hospital Authority and his current practice location is 919 Conference Dr Ste 4, Goodlettsville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 788-9324.

Farid Abdulrehman Thanawalla is licensed to practice in Tennessee (license number 54593) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770558496.

Contact Information

	Farid Abdulrehman Thanawalla, MD
	919 Conference Dr Ste 4, Goodlettsville, TN 37072-1924
	(615) 788-9324
	Not Available

Map and Direction

Physician's Profile

Full Name	Farid Abdulrehman Thanawalla
Gender	Male
Speciality	Interventional Radiology
Experience	31 Years
Location	919 Conference Dr Ste 4, Goodlettsville, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Farid Abdulrehman Thanawalla graduated from medical school in 1993

NPI Data:

NPI Number: 1770558496
Provider Enumeration Date: 02/17/2006
Last Update Date: 01/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5698688612
Enrollment ID: I20200720000306

Medical Identifiers

Medical identifiers for Farid Abdulrehman Thanawalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770558496	NPI	-	NPPES
1770558496	Medicaid	MT
1770558496	Medicaid	IA
200659440A	Medicaid	OK
2015757	Medicaid	MA
87881730	Medicaid	NM
1770558496	Medicaid	SD
191281	Medicaid	AZ
A35829	Other	MA	MEDICARE ID
201141130A	Medicaid	KS
82653844	Medicaid	CO
$$$$$$$$$	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	217086 (Massachusetts)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	24890 (Nebraska)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	56250 (Colorado)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	04-39312 (Kansas)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD18855 (Hawaii)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	217086 (Massachusetts)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	24890 (Nebraska)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	54593 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tennova Healthcare-clarksville	Clarksville, TN	Hospital
Metro Nashville General Hospital	Nashville, TN	Hospital
Saint Thomas West Hospital	Nashville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dynamic Radiology Tennessee Pc	6204207798	16
Metropolitan Hospital Authority	3779775432	43

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Farid Abdulrehman Thanawalla allows following entities to bill medicare on his behalf.

Entity Name	Metropolitan Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710206156 PECOS PAC ID: 3779775432 Enrollment ID: O20101013000530

Entity Name	Dynamic Radiology Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588387096 PECOS PAC ID: 6204207798 Enrollment ID: O20230119003085

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Farid Abdulrehman Thanawalla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Farid Abdulrehman Thanawalla, MD 919 Conference Dr, Suite #4, Box 167, Goodlettsville, TN 37072-1924 Ph: (615) 788-9324	Farid Abdulrehman Thanawalla, MD 919 Conference Dr Ste 4, Goodlettsville, TN 37072-1924 Ph: (615) 788-9324

Reviews and Comments

Radiology Doctors in Goodlettsville, TN

Mr. Marc G Soble, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018
Melinda Rixey Sava, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018
Mr. Lawrence D Lubow, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018
Dr. John J Nisbet, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-234-1502
Mr. Michael C Ellis, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018
Dr. Jonathan Paul Gordon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018
Dr. Matthew Renaud Bernhard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018

Farid Abdulrehman Thanawalla, MD - Medicare Interventional Radiology in Goodlettsville, TN