Individual provider Active NPI

Spencer Pugh, M.D.

  • Pulmonary Disease Physician
  • Knoxville, TN
National Provider Identifier
1003294992
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
58735 Issued in TN
Practice address
1924 Alcoa Hwy
Department of Medicine U-114 GSM, Utmck
Knoxville, TN 37920-1511
Phone
(865) 305-9340
Fax
(865) 305-9144
NPI assigned
May 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 58735 TN
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X 58735 TN Primary

Addresses

Primary practice location

1924 Alcoa Hwy
Department of Medicine U-114 GSM, Utmck
Knoxville, TN 37920-1511

Mailing address

1924 Alcoa Hwy
Department of Medicine U-114 GSM, Utmck
Knoxville, TN 37920-1511
Phone (865) 305-9340

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
I20200227001700 TN Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7618262593 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Tennessee, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parkwest Medical CenterGroup PAC ID 8527965417, 58 clinicians

Practice addresses (Care Compare)

9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 694-5700

Hospital & facility affiliations

  • Covenant Homecare Home health agency, Knoxville, TN, CCN 447139
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58735TNMDPulmonary Disease Physician

Practice roles (6 of 20)

OrganizationSpecialtyStatusNew patients
Methodist Medical Center CurrentSince Dec 23, 2022 Accepting new patients
Parkwest Medical Center CurrentSince Dec 23, 2022 Accepting new patients
Statcare Inpatient LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Statcare Outpatient, LLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
East Tennessee Pulmonary Associates PC Pulmonary Disease PastSince Jul 11, 2017 Accepting new patients

Locations

719 Cook Dr
Ste 103
Athens, TN 37303
Phone (423) 339-3340

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

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

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

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

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

800 Oak Ridge Tpke
Ste C200
Oak Ridge, TN 37830
Phone (865) 483-3594

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

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

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

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/

Organizations & group practices 7

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

Hospital & facility affiliations 6

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1003294992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "DEPARTMENT OF MEDICINE U-114 GSM, UTMCK",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9340",
            "fax_number": "865-305-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "DEPARTMENT OF MEDICINE U-114 GSM, UTMCK",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9340",
            "fax_number": "865-305-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "58735",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "58735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.