Noel Melinda Bergquist, MD
Individual provider Active NPI Diagnostic Radiology Physician · Knoxville, TN
NPI 1023040409 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1023040409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 47204 (TN)
- Practice address
- 1924 Alcoa Hwy # U107
Knoxville, TN 37920-1511 - Phone
- (865) 305-9661
- Fax
- (865) 305-6148
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of South Alabama College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Association of University Radiologists, PC
Practice addresses (Care Compare)
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9661
Hospital & facility affiliations
- University Health System, Inc
- Methodist Medical Center of Oak Ridge
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.17 of 100
- Quality
- 89.39
- Improvement activities
- 40
- Cost
- 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in AL, GA, TN, NC
- 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 |
|---|---|---|---|---|
| I20060922000256 | AL | Practitioner - Diagnostic Radiology | 6800891953 | |
| I20100202000020 | GA | Practitioner - Diagnostic Radiology | 6800891953 | Reassigns benefits to 2 organizations |
| I20150303000856 | TN | Practitioner - Diagnostic Radiology | 6800891953 | Reassigns benefits to 1 organization |
| I20151014001416 | NC | Practitioner - Diagnostic Radiology | 6800891953 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107356 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Diagnostics, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Columbus Diagnostic Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| University Diagnostics, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| University Diagnostics, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Columbus Diagnostic Center Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Association of University Radiologists, PC | Diagnostic Radiology | Current |
Accepting new patients |
| Optimal Readings Professional Services, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Robert Eichelberger, M.D., P.C. | Past | Accepting new patients | |
| Montclair Road Imaging, LLC | Past |
Accepting new patients | |
| Radiology of Hunstville PC | Diagnostic Radiology | Past | Accepting new patients |
| BHC - Walker Imaging | Past |
Accepting new patients |
Locations
7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622
2131 Comer Ave
Columbus, GA 31904
Phone (706) 323-7622
2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000
11440 Parkside Dr
Ste 204
Knoxville, TN 37934
Phone (865) 675-1300
1924 Alcoa Hwy
#U107
Knoxville, TN 37920
Phone (865) 305-8685
851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 27626 | AL | |
| Diagnostic Radiology Physician | 2085R0202X | 107356 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 2005-00699 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 47204 | TN | Yes |
| Diagnostic Radiology Physician | 2085R0202X | 053098 | GA |
Addresses
Primary practice location
1924 Alcoa Hwy # U107
Knoxville, TN 37920-1511
Mailing address
PO Box 11167
Knoxville, TN 37939-1167
Phone (865) 584-7376
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47BBBFQ | Other | GA | MEDICARE - IDTF COLUMBUS DIAGNOSTIC |
| GRP2151 | Other | GA | MEDICARE GROUP NUMBER COLUMBUS DIAGNOSTIC |
| Q009031 | Medicaid | TN |
Other providers in Knoxville, TN
- Katherine Dinora Berduo-Muniz
- Sara Christine Berelsman
- Dylan Bergeron
- Berta M Bergia
- Ashley Bergman
- Taylor Parrish Berke
- Dixon Shaquille Bermudez
- Jacob E Bermudez
- Jessica Yousry Bernaba
- Jacqueline Kay Bernard
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 Sep 24, 2024. 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.