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DR. MENE SUGAGE ZUA MD
NPI 1003801937
Internal Medicine - Gastroenterology in Madison, TN

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment
89.57/100
CMS Quality Rating
1308 BRIARVILLE RD, MADISON, TN 37115(615) 868-3131(615) 515-0205 Get Directions Write a Review

NPPES record last updated: February 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mene Sugage Zua Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MENE SUGAGE ZUA MD (NPI 1003801937) is an individual gastroenterology provider in Madison, Tennessee, licensed in Tennessee (026535) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Tristar Skyline Medical Center, and is a graduate of Meharry Medical College School Of Medicine (1994).

NPPES Registry Identity

NPI1003801937
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MENE SUGAGE ZUACredential: MD
Location Address1308 BRIARVILLE RDMadison, TN 37115-5127
Mailing Address1308 Briarville RdMadison, TN 37115-5127 · (615) 868-3131 · Fax (615) 515-0205
Phone(615) 868-3131
Fax(615) 515-0205
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 1994
Enumeration DateSeptember 16, 2005
Last NPPES UpdateFebruary 8, 2020
✔ NPI 1003801937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TN · 026535
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1308 BRIARVILLE RD, Madison, TN 37115
Open in Google Maps ↗

Other Identifiers 1

Medicaid3846536TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mene Sugage Zua Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234109893
PECOS Enrollment IDI20041008000522
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
72 services25 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
40 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services32 patients
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255
This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.
21 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440006
Location3441 Dickerson PikeNashville, TN 37207 · Davidson County
Emergency services

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.45
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DELTA HEALTHCARE CENTER, P.C.
Internal Medicine
1308 BRIARVILLE RD
MADISON, TN 37115
Davidson County (615) 868-3131
NASHVILLE DIGESTIVE DISEASE CENTER, P.C.
Internal Medicine (Gastroenterology)
1308 BRIARVILLE RD
MADISON, TN 37115
Davidson County (615) 868-3131
AMERICAN ENDOSCOPY CENTER, P.C.
Clinic/Center (Ambulatory Surgical)
1308 BRIARVILLE RD
MADISON, TN 37115
Davidson County (615) 868-3131
MISS WAEEMANY NINA LOWERY
Nurse Practitioner (Family)
1308 BRIARVILLE RD
MADISON, TN 37115
Davidson County (615) 868-3131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mene Zua's NPI number?

The NPI number for Mene Zua is 1003801937. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Mene Zua located?

Mene Zua practices at 1308 Briarville Rd, Madison, TN 37115. The listed phone number is (615) 868-3131.

What is Mene Zua's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mene Zua enrolled in Medicare?

Yes. Mene Zua is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mene Zua accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Mene Zua as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mene Zua affiliated with any hospitals?

According to CMS data, Mene Zua is affiliated with Tristar Skyline Medical Center and Tristar Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Mene Zua was last updated on February 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.