DR. JAMES A. GARIZIO DO
NPI 1295396158
Hospitalist in Nashville, TN

Q: What is James Garizio's NPI number?

The NPI number for James Garizio is 1295396158. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Q: What is James Garizio's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for James Garizio was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since June 21, 2019PECOS EnrolledAccepts Medicare Assignment

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 1, 2024, Oct 18, 2021, Sep 9, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Dr. James A. Garizio Do NPPES

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

DR. JAMES A. GARIZIO DO (NPI 1295396158) is an individual hospitalist provider in Nashville, Tennessee, licensed in Tennessee (5233) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1295396158

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. JAMES A. GARIZIOCredential: DO

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-7430

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 322-6842

Phone(615) 322-5000

Sole ProprietorYes

Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2019

Enumeration DateJune 21, 2019

Last NPPES UpdateAugust 19, 20254 updates tracked since enumeration

NPPES CertifiedAugust 19, 2025

✔ NPI 1295396158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in TN · 5233

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 5233 (TN)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 25MB11222600 (NJ)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1176 Palisade AveJersey City, NJ 07306-1121 · Phone (201) 795-8200

Location 229 E 29th StBayonne, NJ 07002-4654 · Phone (201) 858-5000

Location 31 Medical Park BlvdBristol, TN 37620-7430 · Phone (423) 844-1121

Other Identifiers 2

MedicaidQ090099TN

Medicaid7101054560KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Cigna Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James A. Garizio Do 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 ID1658738554

PECOS Enrollment IDI20231221002382

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.

Medicare Billing Reassignments

Medicare enrollment records show James Garizio reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vanderbilt University Medical Center

0.5 mi

Internal Medicine

1301 22ND AVE S
Nashville, TN 37232

Reassigned Medicare billing, Tennessee enrollment
4,711 clinicians in this Medicare group

NPI 1104202761 (615) 936-2000

Wellmont Medical Associates, Inc.

213 mi

Internal Medicine

405 SCENIC DR, SUITE A
Rogersville, TN 37857

Reassigned Medicare billing, Tennessee enrollment
861 clinicians in this Medicare group

NPI 1689032575 (423) 921-3490

Cogent Medical Care PC

814 mi

Internal Medicine

101 HOSPITAL RD
East Patchogue, NY 11772

Reassigned Medicare billing, New York enrollment
640 clinicians in this Medicare group

NPI 1912941238 (631) 687-4131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

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.

128 services128 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

82 services79 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

39 services11 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440039

Location1211 Medical Center DriveNashville, TN 37232 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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.

Other Providers at the Same Location NPPES 20

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

DR. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)