Individual provider Active NPI

Omar Tageldin, MD

  • Gastroenterology Physician
  • Knoxville, TN
National Provider Identifier
1134612666
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0000069532 Issued in TN
Practice address
1930 Alcoa Hwy
Knoxville, TN 37920-1500
Phone
(865) 305-6570
Fax
(865) 305-6576
NPI assigned
Jun 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0000069532 TN Primary

Addresses

Primary practice location

1930 Alcoa Hwy
Knoxville, TN 37920-1500

Mailing address

1930 Alcoa Hwy Ste 145
Knoxville, TN 37920-1546
Phone (865) 305-6570

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
I20240918003099 TN Practitioner - Gastroenterology 3072858919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1130 Middle Creek Rd
Suite 260
Sevierville, TN 37862-3055
Phone (865) 305-6333

11606 Chapman Hwy
Suite 2 and 3
Knoxville, TN 37931-3162
Phone (865) 609-6980

1924 Alcoa Hwy
Knoxville, TN 37920-1511

2531 Willow Point Way
Suite 104
Knoxville, TN 37931-3162
Phone (865) 544-2800

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

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
Colonoscopy90
Upper gastrointestinal (GI) endoscopy for acid reflux94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000069532TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Jul 1, 2024 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System, Inc Gastroenterology CurrentSince Jul 1, 2024 Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

2531 Willow Point Way
Ste 104
Knoxville, TN 37931

1930 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 263-2400

1930 Alcoa Hwy
Ste 145
Knoxville, TN 37920
Phone (865) 544-6650

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1130 Middle Creek Rd
Ste 260
Sevierville, TN 37862
Phone (865) 428-7586

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": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1134612666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY STE 145",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201546",
            "telephone_number": "865-305-6570",
            "fax_number": "865-305-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201500",
            "telephone_number": "865-305-6570",
            "fax_number": "865-305-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGELDIN",
        "first_name": "OMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-09",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "0000069532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.