Individual provider Active NPI

Barry Victor Maves, MD

  • Gastroenterology Physician
  • Knoxville, TN
National Provider Identifier
1063487866
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD17022 Issued in TN
Practice address
1311 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909-2454
Phone
(865) 588-5121
Fax
(865) 588-2126
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD17022 TN Primary

Addresses

Primary practice location

1311 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909-2454

Mailing address

PO Box 59002
Knoxville, TN 37950-9002
Phone (865) 588-5121

Other identifiers 1

IdentifierTypeStateIssuer
3020785MedicaidTN

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
I20101222000935 TN Practitioner - GastroenterologyPractitioner - Internal Medicine 5496770505 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17022TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates, PC Gastroenterology CurrentSince Jul 30, 2010 Accepting new patients

Locations

1311 Dowell Springs Blvd
Knoxville, TN 37909
Phone 86558851211606

1311 Dowell Springs Blvd
Ste 300
Knoxville, TN 37909
Phone (865) 558-0606

801 N Weisgarber Rd
Ste 100
Knoxville, TN 37909
Phone 86558851211644

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1063487866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59002",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379509002",
            "telephone_number": "865-588-5121",
            "fax_number": "865-588-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 DOWELL SPRINGS BLVD",
            "address_2": "SUITE 300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092454",
            "telephone_number": "865-588-5121",
            "fax_number": "865-588-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVES",
        "first_name": "BARRY",
        "middle_name": "VICTOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD17022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3020785",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.