Individual provider Active NPI

Michael Roger Thompson, MD

  • Hematology & Oncology Physician
  • Oak Ridge, TN
National Provider Identifier
1023016631
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD026356 Issued in TN
Practice address
200 New York Ave
Suite 200
Oak Ridge, TN 37830-5212
Phone
(865) 835-5400
Fax
(865) 835-5401
NPI assigned
Jul 8, 2005
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD026356 TN Primary

Addresses

Primary practice location

200 New York Ave
Suite 200
Oak Ridge, TN 37830-5212

Mailing address

200 New York Ave
Suite 200
Oak Ridge, TN 37830-5212
Phone (865) 835-5400

Other identifiers 1

IdentifierTypeStateIssuer
3719998MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thompson.michael@covenanthealth.cernerdirect.com

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
I20100922000065 TN Practitioner - Hematology/OncologyPractitioner - Medical Oncology 4789700204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Medical Oncology
Education
Perelman School of Med at the University of Pennsylvania, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thompson Oncology GroupGroup PAC ID 0941246771, 65 clinicians

Practice addresses (Care Compare)

1915 White Ave
Knoxville, TN 37916-2300
Phone (865) 541-1720

431 Devonia St
Harriman, TN 37748-2010
Phone (865) 882-2285

576 Ft Loudoun Medical Ctr
Suite 203
Lenoir City, TN 37772-5676
Phone (865) 271-6095

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD026356TNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Oncology Group Hematology & Oncology CurrentSince Jun 6, 2010 Accepting new patients
Cumberland Oncology & Hematology Past Accepting new patients

Locations

Knoxville, TN 37995

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

Dept 888078
Knoxville, TN 37995

200 New York Ave
Ste 200
Oak Ridge, TN 37830
Phone (865) 331-1720

Networks

  • MS PPO
  • MS PPO C-SNP
  • MS PPO D-SNP

Organizations & group practices 2

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 4

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1023016631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEW YORK AVE",
            "address_2": "SUITE 200",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305212",
            "telephone_number": "865-835-5400",
            "fax_number": "865-835-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NEW YORK AVE",
            "address_2": "SUITE 200",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305212",
            "telephone_number": "865-835-5400",
            "fax_number": "865-835-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MICHAEL",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "MD026356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3719998",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thompson.michael@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "200 New York Ave",
            "address_2": "Suite 200",
            "city": "Oak Ridge",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378305212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.