NPIMap

Individual provider Active NPI

Christopher R Ellington, MD

  • Diagnostic Radiology Physician
  • Knoxville, TN
National Provider Identifier
1053708388
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
62111 Issued in TN
Practice address
1924 Alcoa Hwy # U107
Knoxville, TN 37920-1511
Phone
(865) 305-9661
Fax
(865) 305-6148
NPI assigned
Apr 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2020004174 MO
Diagnostic Radiology Physician 2085R0202X 62111 TN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200625002837 MO Practitioner - Diagnostic Radiology 8325349905 Reassigns benefits to 2 organizations
I20210511000443 TN Practitioner - Diagnostic Radiology 8325349905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arkansas College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9661

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as group
Quality
89.39
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020004174MOMDDiagnostic Radiology Physician
62111TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Washington University Diagnostic Radiology CurrentSince Jun 15, 2020 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Miracl, LLC CurrentSince Jun 15, 2020 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 31, 2023 Accepting new patients
Association of University Radiologists, PC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients

Locations

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

660 S Euclid Ave
#8131
Saint Louis, MO 63110
Phone (314) 362-2809

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

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

Organizations & group practices 6

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 5

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1053708388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11167",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379391167",
            "telephone_number": "865-584-7376",
            "fax_number": "865-540-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # U107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9661",
            "fax_number": "865-305-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2020004174",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "62111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.