Individual provider Active NPI

Joseph Anthony Mardini

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1033911292
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RS2025-0108 Issued in NM
Practice address
1254 Arborbrooke Dr
Knoxville, TN 37922-9328
Phone
(865) 607-5089
NPI assigned
Mar 26, 2025
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X RS2025-0108 NM Primary

Addresses

Primary practice location

1254 Arborbrooke Dr
Knoxville, TN 37922-9328

Mailing address

1254 Arborbrooke Dr
Knoxville, TN 37922-9328
Phone (865) 607-5089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20251027002865 NM Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3375032857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RS2025-0108NMMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1033911292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 ARBORBROOKE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379229328",
            "telephone_number": "865-607-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 ARBORBROOKE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379229328",
            "telephone_number": "865-607-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDINI",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "RS2025-0108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.