Active NPI
Donovan Lyle Yamada, MD
- Diagnostic Radiology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 41726
- Practice address
- 2001 Laurel Ave # N304
Knoxville, TN 37916-1810 - Phone
- (865) 595-4100
- Fax
- (865) 766-0133
- NPI assigned
- Aug 28, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 41726 | TN | Primary |
Addresses
Primary practice location
2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Mailing address
2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Phone (865) 595-4100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3828091 | Medicaid | TN | |
| 3828090 | Medicaid | TN | |
| P000379147 | Other | TN | RR MCARE-CI |
| 5905474 | Medicaid | AL | |
| P000365256 | Other | TN | RR MCARE-ADR |
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Loma Linda University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Laurel Ave
Knoxville, TN 37916-1810
Phone (865) 546-9484
Hospital & facility affiliations
- Parkwest Medical Center
- Affiliate of Vitruvian Health
- Morristown Hamblen Hospital Association
- Fort Sanders Regional Medical Center
- Fort Loudoun Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.28 of 100
- Quality
- 75.62
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41726 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Radiology, PC. | Diagnostic Radiology | Current | Accepting new patients |
| Plaza Radiology, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Radcare of Tennessee PC | Diagnostic Radiology | Past | Accepting new patients |
| Associates in Diagnostic Radiology Inc | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387
4709 Papermill Dr
Ste 201
Knoxville, TN 37909
Dept 888302
Knoxville, TN 37995
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.
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1386698710
-
- Diagnostic Radiology Physician
- Chattanooga, TN
- NPI 1437119328
-
- Diagnostic Radiology Physician
- Chattanooga, TN
- NPI 1609836584
-
- Diagnostic Radiology Physician
- Chattanooga, TN
- NPI 1538186226
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1861478489
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, TN
- NPI 1255171096
-
- General Acute Care Hospital
- Lenoir City, TN
- NPI 1609860659
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
-
- General Acute Care Hospital
- Morristown, TN
- NPI 1912997024
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1174631410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 LAUREL AVE # N304",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161810",
"telephone_number": "865-595-4100",
"fax_number": "865-766-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 LAUREL AVE # N304",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161810",
"telephone_number": "865-595-4100",
"fax_number": "865-766-0133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMADA",
"first_name": "DONOVAN",
"middle_name": "LYLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "41726",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3828091",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3828090",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE-CI",
"identifier": "P000379147",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5905474",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE-ADR",
"identifier": "P000365256",
"state": "TN"
}
],
"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 Jan 5, 2021; 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.