DR. MICHAEL PATRICK CROGLIO MD
NPI 1578053666
Internal Medicine - Pulmonary Disease in Nashville, TN

Active since May 14, 2018PECOS Enrolled
1301 MEDICAL CENTER DR, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2026, May 14, 2018 (2 updates tracked since 2018).

About Dr. Michael Patrick Croglio Md NPPES

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

DR. MICHAEL PATRICK CROGLIO MD (NPI 1578053666) is an individual pulmonary disease provider in Nashville, Tennessee, licensed in Tennessee (246902) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chapel Hill.

NPPES Registry Identity

NPI1578053666
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MICHAEL PATRICK CROGLIOCredential: MD
Location Address1301 MEDICAL CENTER DRNashville, TN 37232-0028
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Sole ProprietorNo
Enumeration DateMay 14, 2018
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1578053666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TN · 246902
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 238486 (NC)
1301 MEDICAL CENTER DR, Nashville, TN 37232

Secondary Practice Location 1

Location 1Ambulatory Care Center 102 Mason Farm RdChapel Hill, NC 27599-0001 · Phone (315) 491-5223

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Patrick Croglio Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michael Croglio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1301 22ND AVE S
Nashville, TN 37232
  • Reassigned Medicare billing, Tennessee enrollment
  • 4,711 clinicians in this Medicare group

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
$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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$90.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Podiatrist
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232
Nurse Practitioner (Gerontology)
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232
Internal Medicine (Nephrology)
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232
Pediatrics (Neonatal-Perinatal Medicine)
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232
Psychiatry & Neurology (Psychiatry)
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232
Nurse Practitioner (Acute Care)
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232
Speech-Language Pathologist
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232

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 Michael Croglio's NPI number?

The NPI number for Michael Croglio is 1578053666. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Michael Croglio located?

Michael Croglio practices at 1301 Medical Center Dr, Nashville, TN 37232. The listed phone number is (615) 322-5000.

What is Michael Croglio's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Croglio enrolled in Medicare?

Yes. Michael Croglio is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Croglio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Croglio 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 Michael Croglio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Croglio accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Michael Croglio 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 Michael Croglio was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.