Knoxville Nephrology Associates LLC
Organization Active NPI Nephrology Physician · Knoxville, TN
NPI 1184031965 · NPPES record last updated Oct 13, 2015
Key facts
- NPI
- 1184031965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Asif Sultan
- Title
- Owner
- Phone
- (865) 637-5186
Practitioners 4
-
Yaqub Ali, M.D.
-
Asif Sultan, M.D.
-
Raley Layne Smith, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140924002414 | TN | Part B Supplier - Clinic/Group Practice | 9537388525 |
Receives reassigned benefits from 4 practitioners Practice locations: Knoxville, TN; Lenoir City, TN; Morristown, TN; Sweetwater, TN; Tazewell, TN |
National Provider Directory
Locations
6826 Tice Ln
Knoxville, TN 37918
Phone (865) 377-7199
689 Medical Park Dr
Ste 201
Lenoir City, TN 37772
Phone (865) 988-6575
1610 Tazewell Rd
Ste 302
Tazewell, TN 37879
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
6826 Tice LN
Knoxville, TN 37918-5240
Mailing address
6826 Tice LN
Knoxville, TN 37918-5240
Phone (865) 377-7199
Other providers in Knoxville, TN
- Knoxville Medical and Industrial Clinic
- Knoxville Medical Center PC
- Knoxville Medical Group, LLC
- Knoxville Mindful Wellness Center, LLC
- Knoxville Music Therapy LLC
- Knoxville Neurofeedback Group
- Knoxville Neurology Clinic, P.L.L.C.
- Knoxville Neurology Specialists, PLLC
- Knoxville OBGYN Consultants, PC
- Knoxville Omnicare PLLC
All providers in Knoxville, TN · Nephrology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.