Individual provider Active NPI

Randall Gerald Trudell, M.D.

  • Neurology Physician
  • Knoxville, TN
National Provider Identifier
1083684724
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
16509 Issued in TN
Practice address
2200 Sutherland Ave.
Knoxville, TN 37919
Phone
(865) 521-6174
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 16509 TN Primary

Addresses

Primary practice location

2200 Sutherland Ave.
Knoxville, TN 37919

Mailing address

2200 Sutherland Ave.
Knoxville, TN 37919
Phone (865) 521-6174

Other identifiers 1

IdentifierTypeStateIssuer
3015861MedicaidTN

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
I20101020000421 TN Practitioner - Neurology 7618092966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

101 Cherokee PL
Suite 107
Loudon, TN 37774-4162
Phone (865) 408-9344

1928 Alcoa Hwy
Suite B100
Knoxville, TN 37920-1506
Phone (865) 305-6333

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16509TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc CurrentSince Feb 1, 2016 Accepting new patients
University Health System, Inc. Current Accepting new patients
University Health System Inc CurrentSince Feb 1, 2016 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System, Inc Neurology Current Accepting new patients
Knoxville Neurology Specialists, PLLC Neurology Past Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

2200 Sutherland Ave
Knoxville, TN 37919
Phone (865) 521-6174

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1128 E Weisgarber Rd
Ste 250
Knoxville, TN 37909
Phone (865) 521-6174

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

Interoperability endpoints

  • Direct secure messaging: randall.trudell@direct.utmck.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1083684724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SUTHERLAND AVE.",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-521-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SUTHERLAND AVE.",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-521-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDELL",
        "first_name": "RANDALL",
        "middle_name": "GERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "16509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015861",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.