1. Home
  2. Directory
  3. Tennessee
  4. Nashville
  5. Obstetrics Gynecology
  6. NPI Profile

DR. EMAD A ELSAMADICY M.D.
NPI 1376986273
Obstetrics & Gynecology in Nashville, TN

Active since April 10, 2013PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC R 1214 MCN, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 5, 2022, Jul 21, 2022, Jul 24, 2017 (3 updates tracked since 2017).

About Dr. Emad A Elsamadicy M.d. NPPES

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

DR. EMAD A ELSAMADICY M.D. (NPI 1376986273) is an individual obstetrics & gynecology provider in Nashville, Tennessee, licensed in Tennessee (56222) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1376986273
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. EMAD A ELSAMADICYCredential: M.D.
Location Address3601 THE VANDERBILT CLINIC R 1214 MCNNashville, TN 37232-2521
Mailing Address719 Thompson Ln Ste 30330Nashville, TN 37204-4701 · (615) 322-3000
Phone(615) 322-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 10, 2013
Last NPPES UpdateOctober 5, 20223 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1376986273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TN · 56222
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3601 THE VANDERBILT CLINIC R 1214 MCN, Nashville, TN 37232
Open in Google Maps ↗

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 Health and more.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. Emad A Elsamadicy M.d. 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 ID5092086553
PECOS Enrollment IDI20170802002796
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 Reassignment

Medicare enrollment records show Emad Elsamadicy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

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

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

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
$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
Quality85.64
Promoting Interoperability100
Improvement Activities40

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 Emad Elsamadicy's NPI number?

The NPI number for Emad Elsamadicy is 1376986273. It was assigned to this individual provider in the NPPES registry on April 10, 2013.

Where is Emad Elsamadicy located?

Emad Elsamadicy practices at 3601 The Vanderbilt Clinic R 1214 Mcn, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is Emad Elsamadicy's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Emad Elsamadicy enrolled in Medicare?

Yes. Emad Elsamadicy 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.

Which organization bills Medicare for Emad Elsamadicy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emad Elsamadicy reassigns Medicare benefits to Vanderbilt University Medical Center (Nashville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emad Elsamadicy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emad Elsamadicy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Emad Elsamadicy 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.

When was this NPI record last updated?

The NPPES record for Emad Elsamadicy was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.