Individual provider Active NPI

Alan Joseph Koffron, MD

  • Transplant Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1124056726
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
61833 Issued in TN
Practice address
2108 E 3Rd St Ste 200
Chattanooga, TN 37404-2624
Phone
(423) 267-0466
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 61833 TN
Surgical Critical Care Physician 2086S0102X 036090432 IL
Transplant Surgery Physician 204F00000X 61833 TN Primary

Addresses

Primary practice location

2108 E 3Rd St Ste 200
Chattanooga, TN 37404-2624

Mailing address

979 E 3Rd St Ste 300
Chattanooga, TN 37403-2187
Phone (423) 267-0466

Other identifiers 1

IdentifierTypeStateIssuer
036090432MedicaidIL

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
I20201021001892 TN Practitioner - General Surgery 6800964222 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Surgical Associates, PLLCGroup PAC ID 0547242521, 27 clinicians

Practice addresses (Care Compare)

2108 E 3Rd St
Chattanooga, TN 37404-2600
Phone (423) 629-1491

Hospital & facility affiliations

  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61833TNMDSurgery Physician
036090432ILMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health Surgery CurrentSince May 13, 2024 Accepting new patients
University Surgical Associates, PLLC Transplant Surgery CurrentSince Oct 12, 2020 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Nov 17, 2020 Accepting new patients
Erlanger Health CurrentSince May 13, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority Surgery CurrentSince Nov 17, 2020 Accepting new patients

Locations

2108 E 3rd St
Chattanooga, TN 37404
Phone (423) 629-1491

979 E 3rd St
Ste 300
Chattanooga, TN 37403
Phone (423) 757-0792

2108 E 3rd St
Ste 200
Chattanooga, TN 37404

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • Direct secure messaging: alan.koffron.1@33371.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1124056726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032187",
            "telephone_number": "423-267-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 E 3RD ST STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042624",
            "telephone_number": "423-267-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFFRON",
        "first_name": "ALAN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "61833",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IL",
            "license": "036090432",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "TN",
            "license": "61833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090432",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.