NAVID MONAJJEM MD
NPI 1316946122
Surgery in Shelbyville, TN

Q: What is Navid Monajjem's NPI number?

The NPI number for Navid Monajjem is 1316946122. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Q: What is Navid Monajjem's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Navid Monajjem was last updated on March 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment

97.12/100

CMS Quality Rating

120 FRANK MARTIN RD, SUITE 103, SHELBYVILLE, TN 37160(931) 684-4074(931) 684-6992 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Navid Monajjem Md NPPES

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

NAVID MONAJJEM MD (NPI 1316946122) is an individual surgery provider in Shelbyville, Tennessee, licensed in Tennessee (40991) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Ohio State University College Of Medicine (1991).

NPPES Registry Identity

NPI1316946122

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameNAVID MONAJJEMCredential: MD

Location Address120 FRANK MARTIN RD, SUITE 103Shelbyville, TN 37160-7194

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000

Phone(931) 684-4074

Fax(931) 684-6992

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1991

Enumeration DateJuly 14, 2005

Last NPPES UpdateMarch 29, 2022

NPPES CertifiedMarch 29, 2022

✔ NPI 1316946122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in TN · 40991✔ Licensed in VA · 0101224276

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

120 FRANK MARTIN RD, Shelbyville, TN 37160

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Other Identifiers 6

Other12050525TN · Multiplan

Other4124833TN · Bcbs

Other7380077TN · Aetna

Other8008045TN · Cigna

Other10071927TN · Amerigroup

Medicaid3338490TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State 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

Navid Monajjem 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 ID8820080815

PECOS Enrollment IDI20060621000295

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 13

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

51 services51 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

50 services37 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

46 services44 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

31 services31 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

25 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services24 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.

21 services21 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

20 services20 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.

18 services17 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

16 services16 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

13 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Vanderbilt Bedford Hospital

Acute Care Hospitals · Shelbyville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440137

Location2835 Hwy 231 NorthShelbyville, TN 37160 · Bedford County

Emergency services

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440144

Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37160 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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.

97.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.64

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 3

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

TENNESSEE ONCOLOGY PLLC

Internal Medicine (Hematology & Oncology)

120 FRANK MARTIN RD, STE 102
SHELBYVILLE, TN 37160

Bedford County (931) 680-0602

WILLIAM LEE RUSSELL MD

Surgery (Vascular Surgery)

120 FRANK MARTIN RD, SUITE 101
SHELBYVILLE, TN 37160

Bedford County (931) 685-0986

RUPARD & MACKENS MEDICAL GROUP PLLC

Family Medicine

120 FRANK MARTIN RD, SUITE 201
SHELBYVILLE, TN 37160

Bedford County (931) 735-6273

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 Navid Monajjem's NPI number?

The NPI number for Navid Monajjem is 1316946122. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Navid Monajjem located?

Navid Monajjem practices at 120 Frank Martin Rd Suite 103, Shelbyville, TN 37160. The listed phone number is (931) 684-4074.

What is Navid Monajjem's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Navid Monajjem enrolled in Medicare?

Yes. Navid Monajjem 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 Navid Monajjem accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Navid Monajjem 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 Navid Monajjem affiliated with any hospitals?

According to CMS data, Navid Monajjem is affiliated with Vanderbilt University Medical Center, Vanderbilt Bedford Hospital and Vanderbilt Tullahoma-Harton Hospital.

When was this NPI record last updated?

The NPPES record for Navid Monajjem was last updated on March 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.