Knoxville Nephrology Associates LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KNOXVILLE NEPHROLOGY ASSOCIATES LLC

Practice address

6826 Tice LN
Knoxville, TN 37918-5240

Phone

(865) 377-7199

Fax

(865) 377-7901

NPI assigned

Jul 14, 2014

Last updated

Oct 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Asif SultanNPI 1821278474

Title

Owner

Phone

(865) 637-5186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Asif Sultan, M.D.

  • Nephrology Physician
  • Knoxville, TN
  • NPI 1821278474
  Medicare reassignment Care Compare group NPD Authorized official
• Yaqub Ali, M.D.

  • Specialist
  • Knoxville, TN
  • NPI 1801893771
  Medicare reassignment Care Compare group NPD
• Tiffany T Pendergrass, FNP

  • Nurse Practitioner
  • Lenoir City, TN
  • NPI 1194418939
  Medicare reassignment Care Compare group NPD
• Raley Layne Smith, PA-C

  • Physician Assistant
  • Morristown, TN
  • NPI 1992664106
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1184031965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6826 TICE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185240",
            "telephone_number": "865-377-7199",
            "fax_number": "865-377-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6826 TICE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185240",
            "telephone_number": "865-377-7199",
            "fax_number": "865-377-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE NEPHROLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-637-5186",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Knoxville Medical and Industrial Clinic
• Knoxville Medical Center PC
• Knoxville Medical Group, LLC
• Knoxville Mindful Wellness Center, LLC
• Knoxville Music Therapy LLC (Knoxville Music Therapy)
• Knoxville Neurofeedback Group
• Knoxville Neurology Clinic, P.L.L.C.
• Knoxville Neurology Specialists, PLLC
• Knoxville OBGYN Consultants, PC
• Knoxville Omnicare PLLC

• Nephrology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Nephrology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.