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MARIANA VETRICI
NPI 1568049294
Internal Medicine in Cleveland, TN

Active since March 27, 2021PECOS EnrolledAccepts Medicare Assignment
2305 CHAMBLISS AVE NW, CLEVELAND, TN 37311(423) 559-6000 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2024, Mar 27, 2021 (2 updates tracked since 2021).

About Mariana Vetrici NPPES

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

MARIANA VETRICI (NPI 1568049294) is an individual internal medicine provider in Cleveland, Tennessee, licensed in Tennessee (70224) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Tennova Health Care-cleveland, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1568049294
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARIANA VETRICI
Location Address2305 CHAMBLISS AVE NWCleveland, TN 37311-3847
Mailing Address2601 Ocean PkwyBrooklyn, NY 11235-7791
Phone(423) 559-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 27, 2021
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
✔ NPI 1568049294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 70224
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2305 CHAMBLISS AVE NW, Cleveland, TN 37311
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, 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

Mariana Vetrici 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 ID7810421930
PECOS Enrollment IDI20241112004627
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 Mariana Vetrici reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeastern Physician Services PC
68 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000

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 4

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 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.
128 services46 patients
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.
69 services29 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services22 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440185
Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37311 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.

KEZLEY ANDERSON DPT
Physical Therapist
2305 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 559-6080
DR. LORAINE O. ACHEBE M.D
Hospitalist
2305 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 559-6000
MEGAN RANDOLPH JUSTICE RSA
Specialist/Technologist, Other (Surgical Assistant)
2305 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 559-6000
CALVIN RICHARD KURZ M.D.
Emergency Medicine
2305 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 559-6000
DR. KELLIE ANN TAYLOR M.D.
Family Medicine
2305 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 559-6000
DR. JUAN CARLOS MALPARTIDA JR. MD
Hospitalist
2305 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 559-6000
DR. HOWARD KENTON HAMILTON M.D.
Radiology (Diagnostic Radiology)
2305 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 479-6214
MATTHEW PLOTT MD
Emergency Medicine
2305 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (706) 264-4603

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 Mariana Vetrici's NPI number?

The NPI number for Mariana Vetrici is 1568049294. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Where is Mariana Vetrici located?

Mariana Vetrici practices at 2305 Chambliss Ave NW, Cleveland, TN 37311. The listed phone number is (423) 559-6000.

What is Mariana Vetrici's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mariana Vetrici enrolled in Medicare?

Yes. Mariana Vetrici 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 Mariana Vetrici's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariana Vetrici reassigns Medicare benefits to Southeastern Physician Services PC (Oak Ridge, 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 Mariana Vetrici's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariana Vetrici accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mariana Vetrici 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 Mariana Vetrici affiliated with any hospitals?

According to CMS data, Mariana Vetrici is affiliated with Tennova Health Care-Cleveland.

When was this NPI record last updated?

The NPPES record for Mariana Vetrici was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.