NPIMap

Organization Active NPI

Nephrology Associates of Knoxville, PC

  • Nephrology Physician
  • Knoxville, TN
National Provider Identifier
1114912433
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES OF KNOXVILLE, PC
Practice address
1932 Alcoa Hwy
Ste C460
Knoxville, TN 37920
Phone
(865) 546-9246
Fax
(865) 523-6466
NPI assigned
Sep 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Authorized official

Name
Denise Rivers, DONPI 1932193471
Title
Partner/President
Phone
(865) 546-9246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1932 Alcoa Hwy
Ste C460
Knoxville, TN 37920

Mailing address

1932 Alcoa Hwy
Ste C460
Knoxville, TN 37920
Phone (865) 546-9246

Other identifiers 1

IdentifierTypeStateIssuer
3723987MedicaidTN

Other names 1

  • University Nephrology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813000420 TN Part B Supplier - Clinic/Group Practice 9931172426 Receives reassigned benefits from 11 practitioners
Practice locations: Sevierville, TN; Maryville, TN; La Follette, TN; Knoxville, TN

National Provider Directory

National Provider Directory
Tax ID family
Nephrology Associates of Knoxville3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

173 Patty Hill Rd
Caryville, TN 37714
Phone (423) 566-1487

1932 Alcoa Hwy
Ste C460
Knoxville, TN 37920
Phone (865) 546-9246

1932 Alcoa Hwy
Ste 460
Knoxville, TN 37920
Phone (865) 546-9246

765 Sunrise Cir
Sevierville, TN 37862
Phone (865) 453-4068

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1114912433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY",
            "address_2": "STE C460",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "865-546-9246",
            "fax_number": "865-523-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY",
            "address_2": "STE C460",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "865-546-9246",
            "fax_number": "865-523-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF KNOXVILLE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PARTNER/PRESIDENT",
        "authorized_official_telephone_number": "865-546-9246",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723987",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Nephrology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Nephrology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.