NPIMap

Individual provider Active NPI

Crystal L Gue, M.D.

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1124043062
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD24536 Issued in TN
Practice address
2250 Sutherland Ave Ste 350
Knoxville, TN 37919-2332
Phone
(865) 218-9220
Fax
(865) 218-3330
NPI assigned
Jul 13, 2006
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD24536 TN
Internal Medicine Physician 207R00000X MD24536 TN Primary

Addresses

Primary practice location

2250 Sutherland Ave Ste 350
Knoxville, TN 37919-2332

Mailing address

11440 Parkside Dr
Suite 302
Knoxville, TN 37934-2658
Phone (865) 288-1548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040102000690 TN Practitioner - Internal Medicine 5597663112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JC Edwards School of Medicine, Marshall University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faculty Internal Medicine PLLCGroup PAC ID 4789582305, 12 clinicians

Practice addresses (Care Compare)

11440 Parkside Dr
Suite 302
Knoxville, TN 37934-2662
Phone (865) 288-1548

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD24536TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Internal Medicine, PLLC Specialist CurrentSince Dec 1, 2003 Accepting new patients
Faculty Internal Medicine PLLC Specialist CurrentSince Dec 1, 2003 Accepting new patients
University Health System Inc Past Accepting new patients

Locations

11440 Parkside Dr
Ste 302
Knoxville, TN 37934
Phone (865) 218-9220

1924 Alcoa Hwy
#56
Knoxville, TN 37920
Phone (865) 305-9081

2250 Sutherland Ave
Ste 121
Knoxville, TN 37919
Phone (865) 218-9220

4005 Fountain Valley Dr
Ste 350
Knoxville, TN 37918
Phone (865) 925-9020

Organizations & group practices 3

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 5

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1124043062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 PARKSIDE DR",
            "address_2": "SUITE 302",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342658",
            "telephone_number": "865-288-1548",
            "fax_number": "865-377-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 SUTHERLAND AVE STE 350",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379192332",
            "telephone_number": "865-218-9220",
            "fax_number": "865-218-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUE",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD24536",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD24536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.