Active NPI
Omar Tageldin, MD
- Gastroenterology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0000069532
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- Quality
- 86.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 90 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 94 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000069532 | TN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health System Inc | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| University Health System, Inc | Gastroenterology | Current | 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.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
- Gastroenterology Physician
- Knoxville, TN
- NPI 1710180864
Gastroenterology
-
- Neurology Physician
- Knoxville, TN
- NPI 1720003338
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.