John Texada, MD
Individual provider Active NPI Diagnostic Radiology Physician · Knoxville, TN
NPI 1003021783 · NPPES record last updated Nov 29, 2016
Key facts
- NPI
- 1003021783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 45370 (TN)
- Practice address
- 4709 Papermill Dr Ste 201
Knoxville, TN 37909-1921 - Phone
- (865) 766-6870
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Louisiana State University School of Medicine in New Orleans, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue Ridge Radiology PC
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-2200
105 Fairlea CT
Lynchburg, VA 24503-2164
Phone (423) 968-1144
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 244-6800
Hospital & facility affiliations
- Johnson City Medical Center
- Wellmont Holston Valley Medical Center
- Wellmont Bristol Regional Medical Center
- Johnston Memorial Hospital
- Franklin Woods Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.28 of 100
- Quality
- 75.62
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090820000272 | TN | Practitioner - Diagnostic Radiology | 1355412982 | Reassigns benefits to 3 organizations |
| I20250403001418 | VA | Practitioner - Diagnostic Radiology | 1355412982 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45370 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leconte Radiology PC | Diagnostic Radiology | Current |
Accepting new patients |
| Blue Ridge Radiology, P.C. | Diagnostic Radiology | Current |
Accepting new patients |
| Covenant Health Diagnostic Centers, LLC | Current |
Accepting new patients | |
| Vista Radiology, PC. | Diagnostic Radiology | Current |
Accepting new patients |
| Downtown Radiology Inc | Past |
Accepting new patients |
Locations
123 N 19th St
#A103
Middlesboro, KY 40965
Phone (606) 248-3171
266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864
3053 W State St
Bristol, TN 37620
Phone (423) 301-6567
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
4289 Bonny Oaks Dr
Ste 106
Chattanooga, TN 37406
Dept 888302
Knoxville, TN 37995
4709 Papermill Dr
Ste 201
Knoxville, TN 37909
Interoperability endpoints
- jtexada872640@direct.ghs.myhfn.org
- https://soap.wellmont.org/FHIRPRD/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 45370 | TN | Yes |
Addresses
Primary practice location
4709 Papermill Dr Ste 201
Knoxville, TN 37909-1921
Mailing address
4709 Papermill Dr Ste 201
Knoxville, TN 37909-1921
Phone (865) 766-6870
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1514586 | Medicaid | TN |
Other providers in Knoxville, TN
- Lindsay Terry
- William Terry
- Benjamin Robert Teruel
- Tiffani Tester
- Mary Chris Testerman
- Alicia Thacker
- Faith Thackerson
- Manisha Shrihari Thakur
- Sneha Thakur
- Katrina Y Thaxton
All providers in Knoxville, TN · Diagnostic Radiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.