Individual provider Active NPI

Hussein Alwan Kammona, MD

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1114023447
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30198 Issued in TN
Practice address
1924 Alcoa Highway
Knoxville, TN 37920-1511
Phone
(865) 544-9000
Fax
(865) 539-8008
NPI assigned
Sep 15, 2006
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD30198 TN
Internal Medicine Physician 207R00000X 30198 TN Primary

Addresses

Primary practice location

1924 Alcoa Highway
Knoxville, TN 37920-1511

Mailing address

1608 Persimmon LN
Knoxville, TN 37922-7126
Phone (865) 320-6008

Other identifiers 4

IdentifierTypeStateIssuer
3095965OtherTNBCBS OF TENNESSEE
3825792MedicaidTN
64043169MedicaidKY
930096029OtherTNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050809000853 TN Practitioner - Internal MedicinePractitioner - Emergency Medicine 4587693692 Reassigns benefits to 4 organizations
I20160518001500 OH Practitioner - Emergency Medicine 4587693692 Reassigns benefits to 2 organizations
I20161017002425 MS Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Pediatric Medicine 4587693692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine, Pediatric Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonita Emergency Group LLCGroup PAC ID 3870933278, 26 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 483-0011

208 Central Ave W
Jamestown, TN 38556-3557
Phone (888) 952-6772

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30198TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Eagle Creek Emergency Group, PC Emergency Medicine CurrentSince Mar 25, 2022 Accepting new patients
Spring Creek Emergency Physicians PLLC Emergency Medicine CurrentSince Jul 14, 2017 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Dec 3, 2023 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Bonita Emergency Group, LLC Emergency Medicine CurrentSince May 13, 2024 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Tennessee Em-I Medical Services PC Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

7402 Lee Hwy
Chattanooga, TN 37421
Phone (423) 242-9750

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

208 Central Ave W
Jamestown, TN 38556
Phone (865) 305-9401

1000 Highway 28
Jasper, TN 37347
Phone (423) 837-9500

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

1901 S Shady St
Mountain City, TN 37683
Phone (423) 727-1100

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

1850 Old Knoxville Rd
Tazewell, TN 37879
Phone (423) 526-2137

Organizations & group practices 10

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1114023447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 PERSIMMON LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379227126",
            "telephone_number": "865-320-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HIGHWAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-544-9000",
            "fax_number": "865-539-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMONA",
        "first_name": "HUSSEIN",
        "middle_name": "ALWAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD30198",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "30198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "3095965",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3825792",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64043169",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930096029",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.