Antonio Lavale Knowles, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

581 Issued in TN

Practice address

5362 Estate Office Dr
Suite 1
Memphis, TN 38119-3635

Phone

(901) 537-0078

Fax

(901) 537-0096

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interventional Diabetes Center LLC 3Group PAC ID 1658882212, 2 clinicians

Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional One Health Hospital, Memphis, TN, CCN 440152

Merit-based Incentive Payment System (MIPS)

Final score

80.97 of 100Reported as group

Quality

64.58

Improvement activities

40

Cost

77.33

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Interventional Diabetes Center LLC 3

  • Podiatrist
  • Memphis, TN
  • NPI 1881483733
  Medicare reassignment Care Compare group NPD
• Ut Regional One Physicians Inc

  • Surgery Physician
  • Memphis, TN
  • NPI 1093130585
  Medicare reassignment Care Compare group NPD
• Adult and Pediatric Foot Center, LLC

  • Foot Surgery Podiatrist
  • Memphis, TN
  • NPI 1407025935
  Medicare reassignment NPD
• Interventional Diabetes Center LLC 4

  • Podiatrist
  • Kenton, TN
  • NPI 1821887944
  Medicare reassignment NPD
• Vital Wound and Foot Care LLC

  • Podiatrist
  • Madison, TN
  • NPI 1326837477
  Medicare reassignment NPD
• Interventional Diabetes Center, LLC

  • Clinic/Center
  • Lexington, MS
  • NPI 1649747825
  Medicare reassignment NPD
• Ut Regional One Physicians Inc

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1285042028
  NPD
• Professional Home Health Care, LLC

  • Home Health Agency
  • Brownsville, TN
  • NPI 1194780569
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shelby County Health Care Corporation

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1144213117
  Care Compare affiliation

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124188511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5362 ESTATE OFFICE DR",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193635",
            "telephone_number": "901-537-0078",
            "fax_number": "901-537-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5362 ESTATE OFFICE DR",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193635",
            "telephone_number": "901-537-0078",
            "fax_number": "901-537-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "ANTONIO",
        "middle_name": "LAVALE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3353517",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William H Knight, MD
• Christopher Knott-Craig, MD
• Olivia Knotts, OTR/L
• Knowledge Quest
• Angela N Knowles, LMSW, CFTP,CBC
• Crystal Janice Knowles
• Gentry Lewis Knowles
• Latanya Knowles, B.A.
• Terri Lynne Knowlton-Richards, CMSW
• Linda Knox

• Podiatrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.