IRINA GAGUA MD
NPI 1811135841
Internal Medicine in Nashville, TN

Active since January 29, 2009PECOS EnrolledAccepts Medicare Assignment
4230 HARDING PIKE STE 500, NASHVILLE, TN 37205(629) 255-2087(629) 255-4271 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 25, 2024, Jul 22, 2019, May 24, 2017 and 2 more (5 updates tracked since 2015).

About Irina Gagua Md NPPES

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

IRINA GAGUA MD (NPI 1811135841) is an individual internal medicine provider in Nashville, Tennessee, licensed in Tennessee (70290) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of University Of Kentucky College Of Medicine (2006).

NPPES Registry Identity

NPI1811135841
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameIRINA GAGUACredential: MD
Location Address4230 HARDING PIKE STE 500Nashville, TN 37205-4903
Mailing Address222 22nd Ave NNashville, TN 37203-1852 · (629) 255-3486 · Fax (629) 255-3075
Fax(629) 255-4271
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2006
Enumeration DateJanuary 29, 2009
Last NPPES UpdateApril 25, 20245 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
NPI 1811135841 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 · 70290
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.

4230 HARDING PIKE STE 500, Nashville, TN 37205

Other Identifiers 2

Other35.127337OH · License
Other70290TN · License

Accepted 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

Irina Gagua 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 ID7012055619
PECOS Enrollment IDI20240521004221
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.

Areas of Expertise CMS Part B claims 10

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
43 services31 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services25 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
21 services19 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
14 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson 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 37205 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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4230 HARDING PIKE STE 500
NASHVILLE, TN 37205
Internal Medicine
4230 HARDING PIKE STE 500
NASHVILLE, TN 37205
Internal Medicine
4230 HARDING PIKE STE 500
NASHVILLE, TN 37205
Internal Medicine
4230 HARDING PIKE STE 500
NASHVILLE, TN 37205
Internal Medicine
4230 HARDING PIKE STE 500
NASHVILLE, TN 37205
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4230 HARDING PIKE STE 500
NASHVILLE, TN 37205
Psychiatry & Neurology (Psychiatry)
4230 HARDING PIKE STE 500
NASHVILLE, TN 37205
Internal Medicine
4230 HARDING PIKE STE 500
NASHVILLE, TN 37205

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 Irina Gagua's NPI number?

The NPI number for Irina Gagua is 1811135841. It was assigned to this individual provider in the NPPES registry on January 29, 2009.

Where is Irina Gagua located?

Irina Gagua practices at 4230 Harding Pike Ste 500, Nashville, TN 37205. The listed phone number is (629) 255-2087.

What is Irina Gagua's specialty?

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

Is Irina Gagua enrolled in Medicare?

Yes. Irina Gagua 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 Irina Gagua accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Irina Gagua 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 Irina Gagua affiliated with any hospitals?

According to CMS data, Irina Gagua is affiliated with Vanderbilt University Medical Center and Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Irina Gagua was last updated on April 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.