ROMAN GUSDORF MD
NPI 1811630619
Pediatrics in Nashville, TN

Q: What is Roman Gusdorf's NPI number?

The NPI number for Roman Gusdorf is 1811630619. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Q: What is Roman Gusdorf's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Roman Gusdorf was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 19, 2022PECOS Enrolled

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2025, Jun 11, 2025, Apr 19, 2022 (3 updates tracked since 2022).

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About Roman Gusdorf Md NPPES

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

ROMAN GUSDORF MD (NPI 1811630619) is an individual pediatrics provider in Nashville, Tennessee, licensed in Tennessee (74028) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Nashville, and is a graduate of Vanderbilt University School Of Medicine (2022).

NPPES Registry Identity

NPI1811630619

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameROMAN GUSDORFCredential: MD

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-0005

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691

Phone(615) 322-5000

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2022

Enumeration DateApril 19, 2022

Last NPPES UpdateJune 16, 20253 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1811630619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TN · 74028

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

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Secondary Practice Location 1

Location 12200 Childrens WayNashville, TN 37232-0005 · Phone (615) 936-2555 · Fax (615) 936-3601

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roman Gusdorf Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749661502

PECOS Enrollment IDI20250624003748

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.

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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

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.

DR. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)