Individual provider Active NPI

Scott Embry, MD

  • Diagnostic Radiology Physician
  • Knoxville, TN
National Provider Identifier
1104141613
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
38706 Issued in SC
Practice address
2240 Sutherland Ave Ste 540
Knoxville, TN 37919-2333
Phone
(865) 584-7376
Fax
(865) 540-3856
NPI assigned
Mar 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 38706 SC Primary

Addresses

Primary practice location

2240 Sutherland Ave Ste 540
Knoxville, TN 37919-2333

Mailing address

2240 Sutherland Ave Ste 107
Knoxville, TN 37919-2333
Phone (865) 584-7376

Other practice location 1

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6690

Other identifiers 2

IdentifierTypeStateIssuer
387067MedicaidSC
Q030461MedicaidTN

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
I20170726004298 TN Practitioner - Diagnostic Radiology 6305088899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
East Tennessee State University Quillen College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1926 Alcoa Hwy
Suite 120
Knoxville, TN 37920-1558
Phone (865) 305-9728

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
38706SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Association of University Radiologists, PC Diagnostic Radiology CurrentSince Jul 1, 2017 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, 2017 Accepting new patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients

Locations

266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864

11440 Parkside Dr
Ste 204
Knoxville, TN 37934
Phone (865) 675-1300

1926 Alcoa Hwy
Ste 120
Knoxville, TN 37920
Phone (865) 305-9069

2240 Sutherland Ave
Ste 107
Knoxville, TN 37919
Phone 8655847376 ext. 241

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

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 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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1104141613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 SUTHERLAND AVE STE 107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379192333",
            "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": "2240 SUTHERLAND AVE STE 540",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379192333",
            "telephone_number": "865-584-7376",
            "fax_number": "865-540-3856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Wood St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033040",
            "country_code": "US",
            "telephone_number": "864-560-6690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMBRY",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "38706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387067",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q030461",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.