Individual provider Active NPI

Corey Cudzilo, M.D.

  • Pulmonary Disease Physician
  • Knoxville, TN
National Provider Identifier
1003012022
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
50968 Issued in TN
Practice address
6473 Kingston Pike
Knoxville, TN 37919-4832
Phone
(865) 588-8831
Fax
(865) 588-8841
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 50968 TN
Pulmonary Disease Physician 207RP1001X 50968 TN Primary

Addresses

Primary practice location

6473 Kingston Pike
Knoxville, TN 37919-4832

Mailing address

PO Box 207830
Dallas, TX 75320-4670
Phone (888) 412-2649

Other practice location 1

744 Middle Creek Rd Ste 208
Sevierville, TN 37862-5036
Phone (865) 446-9725

Other practice location 2

550 Fort Loudoun Medical Center Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140626002201 TN Practitioner - Pulmonary Disease 5092946087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Tennessee, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3030 Northwest Expressway
Suite 1000
Oklahoma City, OK 73112-5468

829 Freels LN
Knoxville, TN 37922-4238

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50968TNMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Statcare Inpatient LLC CurrentSince Jul 1, 2017 Accepting new patients
Statcare Outpatient, LLC Critical Care Medicine CurrentSince Jul 1, 2017 Accepting new patients
Hospital Medicine Services of Tennessee PC CurrentSince Oct 1, 2017 Accepting new patients
Select Specialty Hospital - North Knoxville Inc Past Accepting new patients

Locations

2240 Sutherland Ave
Ste 103
Knoxville, TN 37919
Phone (865) 934-6100

6473 Kingston Pike
Knoxville, TN 37919
Phone (865) 909-0090

6473 Kingston Pike
Ste 6473
Knoxville, TN 37919
Phone (865) 269-6915

10904 Kingston Pike
Ste 102
Knoxville, TN 37934
Phone (865) 392-1540

1901 Clinch Ave
#4N
Knoxville, TN 37916

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

744 Middle Creek Rd
Ste 208
Sevierville, TN 37862
Phone (865) 446-9675

Networks

  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • TN PPO C-SNP
  • AL HMO D-SNP
  • MS PPO D-SNP
  • TN PPO
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • MS PPO C-SNP
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • KY PPO C-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • MS PPO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • KY PPO
  • AL HMO

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c4a889f-c0c4-4f50-90d1-60f6a5ad9e7d/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/9d9ce2ac-65e8-4488-a0f0-ba102e060a58/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1003012022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207830",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753204670",
            "telephone_number": "888-412-2649",
            "fax_number": "405-792-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6473 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194832",
            "telephone_number": "865-588-8831",
            "fax_number": "865-588-8841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 Middle Creek Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378625036",
            "country_code": "US",
            "telephone_number": "865-446-9725",
            "fax_number": "865-446-9726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Fort Loudoun Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725673",
            "country_code": "US",
            "telephone_number": "865-271-6000",
            "fax_number": "865-271-6245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUDZILO",
        "first_name": "COREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "50968",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "50968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.