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

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: August 02, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.