STACY TRICIA TANAKA M.D.
NPI 1689640070
Urology - Pediatric Urology in Nashville, TN

Q: What is Stacy Tanaka's NPI number?

The NPI number for Stacy Tanaka is 1689640070. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Q: What is Stacy Tanaka's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Tanaka was last updated on March 29, 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.

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment

4102 DOCTORS OFFICE TOWER, 2200 CHILDREN'S WAY, NASHVILLE, TN 37232(615) 936-1060(615) 936-1061 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Stacy Tricia Tanaka M.d. NPPES

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

STACY TRICIA TANAKA M.D. (NPI 1689640070) is an individual pediatric urology provider in Nashville, Tennessee, licensed in Tennessee (44860) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Nashville, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1689640070

Entity TypeIndividualFemale

Primary Taxonomy2088P0231X

Provider Legal NameSTACY TRICIA TANAKACredential: M.D.

Location Address4102 DOCTORS OFFICE TOWER, 2200 CHILDREN'S WAYNashville, TN 37232-0001

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

Phone(615) 936-1060

Fax(615) 936-1061

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateFebruary 24, 2006

Last NPPES UpdateMarch 29, 2022

NPPES CertifiedMarch 29, 2022

✔ NPI 1689640070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in TN · 44860

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X · License A83339 (CA), MD44860 (TN)

4102 DOCTORS OFFICE TOWER, Nashville, TN 37232

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Secondary Practice Location 1

Location 12200 Childrens WayNashville, TN 37232-0005 · Phone (615) 936-2000

Other Identifiers 2

Other44860TN · Medical License

OtherA83339CA · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Stacy Tricia Tanaka 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 ID9234280819

PECOS Enrollment IDI20211214001245

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

University Of Alabama Health Services Foundation, PC

176 mi

Clinical Medical Laboratory

720 20TH STREET SOUTH
Birmingham, AL 35294

Reassigned Medicare billing, Alabama enrollment
4,494 clinicians in this Medicare group

NPI 1366638330 (205) 934-4983

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

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 Stacy Tanaka's NPI number?

The NPI number for Stacy Tanaka is 1689640070. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Stacy Tanaka located?

Stacy Tanaka practices at 4102 Doctors Office Tower 2200 Children's Way, Nashville, TN 37232. The listed phone number is (615) 936-1060.

What is Stacy Tanaka's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Stacy Tanaka enrolled in Medicare?

Yes. Stacy Tanaka 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 Stacy Tanaka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Tanaka reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, AL). 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 Stacy Tanaka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Tanaka accept?

Health plans from Blue Cross and Blue Shield of Alabama list Stacy Tanaka 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 Stacy Tanaka was last updated on March 29, 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.