MR. ABU S FAKHRUDDIN MD
NPI 1962497867
Internal Medicine - Gastroenterology in Nashville, TN

Q: What is Abu Fakhruddin's NPI number?

The NPI number for Abu Fakhruddin is 1962497867. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Q: What is Abu Fakhruddin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Abu Fakhruddin was last updated on January 24, 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 September 16, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

330 23RD AVE N, SUITE 300, NASHVILLE, TN 37203(615) 342-5900(615) 342-7898 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Abu S Fakhruddin Md NPPES

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

MR. ABU S FAKHRUDDIN MD (NPI 1962497867) is an individual gastroenterology provider in Nashville, Tennessee, licensed in Tennessee (MD26195) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Tristar Horizon Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1962497867

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMR. ABU S FAKHRUDDINCredential: MD

Location Address330 23RD AVE N, SUITE 300Nashville, TN 37203-1534

Mailing Address330 23rd Ave N, Suite 300Nashville, TN 37203-1534 · (615) 342-5900 · Fax (615) 342-7898

Phone(615) 342-5900

Fax(615) 342-7898

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateSeptember 16, 2005

Last NPPES UpdateJanuary 24, 2022

✔ NPI 1962497867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TN · MD26195

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

330 23RD AVE N, Nashville, TN 37203

Open in Google Maps ↗

Other Identifiers 3

Other100015511TN · Rr Medicare

Medicaid3805808TN

Medicaid64032071KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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 and accepts Medicare assignment

Mr. Abu S Fakhruddin 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 ID7517094683

PECOS Enrollment IDI20100421000416

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 15

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.

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

133 services124 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

125 services124 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

107 services105 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

102 services73 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.

85 services74 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

75 services75 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

59 services55 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

59 services57 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

40 services39 patients

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.

34 services31 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

33 services25 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

33 services33 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

28 services28 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

23 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Tristar Horizon Medical Center

Acute Care Hospitals · Dickson, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440046

Location111 Highway 70 EastDickson, TN 37055 · Dickson County

Emergency services Birthing friendly

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440150

Location5655 Frist BlvdHermitage, TN 37076 · Davidson County

Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440161

Location2300 Patterson StreetNashville, TN 37203 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Colorectal Cancer Screening

88%324 patients5/55-star benchmark: 88%

Controlling High Blood Pressure

78%157 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

22%55 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%667 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

45%473 patients3/55-star benchmark: 61%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83%131 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 5% · 223 patients

Patients totalRate: 2% · 223 patients

0%223 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

TRISTAR GYNECOLOGY ONCOLOGY, LLC

Obstetrics & Gynecology (Gynecologic Oncology)

330 23RD AVE N, SUITE 600
NASHVILLE, TN 37203

Davidson County (615) 340-4640

ANNA KATHLEEN NEBEL NP

Nurse Practitioner

330 23RD AVE N, SUITE 300
NASHVILLE, TN 37203

Davidson County (615) 342-6010

SARAH WRAY APRN

Nurse Practitioner (Pediatrics)

330 23RD AVE N, SUITE 450
NASHVILLE, TN 37203

Davidson County (615) 342-7339

CLARENCE E FOSTER III MD

Transplant Surgery

330 23RD AVE N, SUITE 250
NASHVILLE, TN 37203

Davidson County (615) 342-5626

NASHVILLE PEDIATRIC UROLOGY, PC

Urology (Pediatric Urology)

330 23RD AVE N, SUITE 602
NASHVILLE, TN 37203

Davidson County (615) 342-7320

PUTHENPURACKAL MATHEW MD

Pediatrics (Pediatric Endocrinology)

330 23RD AVE N, SUITE 450
NASHVILLE, TN 37203

Davidson County (615) 342-7339

CATHERINE M THORNBURG M.D.

Obstetrics & Gynecology

330 23RD AVE N, SUITE 604
NASHVILLE, TN 37203

Davidson County (615) 986-6039

JESUS ERIC PINA-GARZA MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

330 23RD AVE N, SUITE 450
NASHVILLE, TN 37203

Davidson County (615) 342-7339

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 Abu Fakhruddin's NPI number?

The NPI number for Abu Fakhruddin is 1962497867. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Abu Fakhruddin located?

Abu Fakhruddin practices at 330 23rd Ave N Suite 300, Nashville, TN 37203. The listed phone number is (615) 342-5900.

What is Abu Fakhruddin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Abu Fakhruddin enrolled in Medicare?

Yes. Abu Fakhruddin 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 Abu Fakhruddin accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Abu Fakhruddin 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 Abu Fakhruddin affiliated with any hospitals?

According to CMS data, Abu Fakhruddin is affiliated with Tristar Horizon Medical Center, Tristar Summit Medical Center and Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for Abu Fakhruddin was last updated on January 24, 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.