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DR. IMUDIA DEKONTE EHANIRE MD
NPI 1427285311
Surgery in Dickson, TN

Active since June 17, 2009PECOS EnrolledAccepts Medicare Assignment
127 CRESTVIEW PARK DR STE 201, DICKSON, TN 37055(615) 441-4505(615) 441-4515 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2025, Sep 1, 2016 (2 updates tracked since 2016).

About Dr. Imudia Dekonte Ehanire Md NPPES

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

DR. IMUDIA DEKONTE EHANIRE MD (NPI 1427285311) is an individual surgery provider in Dickson, Tennessee, licensed in Kansas (0439349) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Tristar Horizon Medical Center, and is a graduate of Howard University College Of Medicine (2009).

NPPES Registry Identity

NPI1427285311
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. IMUDIA DEKONTE EHANIRECredential: MD
Location Address127 CRESTVIEW PARK DR STE 201Dickson, TN 37055-2856
Mailing Address127 Crestview Park DrDickson, TN 37055-2855 · (615) 446-5121 · Fax (615) 446-1359
Phone(615) 441-4505
Fax(615) 441-4515
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2009
Enumeration DateJune 17, 2009
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1427285311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KS · 0439349
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.
127 CRESTVIEW PARK DR STE 201, Dickson, TN 37055
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Other Identifiers 2

Medicaid200655770AOK
Medicaid201142810AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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. Imudia Dekonte Ehanire 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 ID2466741640
PECOS Enrollment IDI20250306000576
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

3

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

Dickson Medical Associates, PC
0.1 mi
Family Medicine
127 CRESTVIEW PARK DR
Dickson, TN 37055
  • Reassigned Medicare billing, Tennessee enrollment
  • 54 clinicians in this Medicare group
NPI 1881834687 (615) 446-5121
Urgent Specialty Associates Of Texas, PLLC
616 mi
Surgical Critical Care
22999 HWY 59 N
Kingwood, TX 77339
  • Reassigned Medicare billing, Texas enrollment
  • 99 clinicians in this Medicare group
NPI 1790350445 (281) 348-8000
Blue Mountain Hospital District
1,755 mi
Critical Access
170 FORD RD
John Day, OR 97845
  • Reassigned Medicare billing, Oregon enrollment
  • 66 clinicians in this Medicare group
NPI 1356414395 (541) 575-1311

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

Hospital Affiliations CMS Care Compare 2

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

Tristar Horizon Medical Center

Acute Care Hospitals · Dickson, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440046
Location111 Highway 70 EastDickson, TN 37055 · Dickson County
Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37055 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.

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 Imudia Ehanire's NPI number?

The NPI number for Imudia Ehanire is 1427285311. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Imudia Ehanire located?

Imudia Ehanire practices at 127 Crestview Park Dr Ste 201, Dickson, TN 37055. The listed phone number is (615) 441-4505.

What is Imudia Ehanire's specialty?

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

Is Imudia Ehanire enrolled in Medicare?

Yes. Imudia Ehanire 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 organizations bill Medicare for Imudia Ehanire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Imudia Ehanire reassigns Medicare benefits to 3 organizations: Dickson Medical Associates, PC (Dickson, TN), Urgent Specialty Associates Of Texas, PLLC (Kingwood, TX) and Blue Mountain Hospital District (John Day, OR). Each 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 Imudia Ehanire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Imudia Ehanire accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 7 other insurers list Imudia Ehanire 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 Imudia Ehanire affiliated with any hospitals?

According to CMS data, Imudia Ehanire is affiliated with Tristar Horizon Medical Center and Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Imudia Ehanire was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.