Individual provider Active NPI

John Joseph Snidow, MD

  • Diagnostic Radiology Physician
  • Knoxville, TN
National Provider Identifier
1194700302
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD039168 Issued in TN
Practice address
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone
(865) 305-9661
Fax
(865) 305-6148
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD039168 TN Primary

Addresses

Primary practice location

1924 Alcoa Hwy
Knoxville, TN 37920-1511

Mailing address

2240 Sutherland Ave Ste 107
Knoxville, TN 37919-2333
Phone (865) 584-7376

Other identifiers 2

IdentifierTypeStateIssuer
3328004MedicaidTN
64092935MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050311000573 TN Practitioner - Diagnostic Radiology 7214839927 Reassigns benefits to 2 organizations
I20130726000615 VA Practitioner - Diagnostic Radiology 7214839927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as group
Quality
89.39
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039168TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Association of University Radiologists, PC Diagnostic Radiology CurrentSince May 1, 2005 Accepting new patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Sep 2, 2017 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 31, 2023 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Tri-State Radiology, PSC Diagnostic Radiology Past Accepting new patients

Locations

266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

11440 Parkside Dr
Ste 204
Knoxville, TN 37934
Phone (865) 675-1300

1924 Alcoa Hwy
#U107
Knoxville, TN 37920
Phone (865) 305-8685

2240 Sutherland Ave
Ste 107
Knoxville, TN 37919
Phone 8655847376 ext. 241

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

127 Health Care Dr
Pennington Gap, VA 24277
Phone (276) 299-5000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1194700302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 SUTHERLAND AVE STE 107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379192333",
            "telephone_number": "865-584-7376",
            "fax_number": "865-584-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9661",
            "fax_number": "865-305-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDOW",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD039168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3328004",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64092935",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.