Individual provider Active NPI

Daniel S Ely, M.D.

  • Specialist
  • Knoxville, TN
National Provider Identifier
1194744516
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD12755 Issued in TN
Practice address
11440 Parkside Dr
Suite 302
Knoxville, TN 37934-2658
Phone
(865) 288-1548
Fax
(865) 377-1002
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD12755 TN Primary

Addresses

Primary practice location

11440 Parkside Dr
Suite 302
Knoxville, TN 37934-2658

Mailing address

11440 Parkside Dr
Suite 302
Knoxville, TN 37934-2658
Phone (865) 288-1548

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040102000674 TN Practitioner - Internal Medicine 9133027758 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Utah School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of TennesseeGroup PAC ID 3072421213, 64 clinicians
Positively Living IncGroup PAC ID 8820353634, 6 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1928 Alcoa Hwy
Suite 127
Knoxville, TN 37920-1522
Phone (865) 305-8787

900 E Hill Ave
Suite 290
Knoxville, TN 37915-2568
Phone (865) 525-1540

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD12755TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Tennessee CurrentSince Jan 1, 2015 Accepting new patients
University of Tennessee CurrentSince Jan 1, 2015 Accepting new patients
Positively Living, Inc. CurrentSince Oct 1, 2017 Accepting new patients
Positively Living, Inc. CurrentSince Aug 25, 2024 Accepting new patients
Faculty Internal Medicine, PLLC Specialist CurrentSince Dec 1, 2003 Accepting new patients
Gallian Medical, PLLC Current Accepting new patients
Faculty Internal Medicine PLLC Specialist CurrentSince Dec 1, 2003 Accepting new patients
University of Tennessee Past Accepting new patients
University Health System, Inc. Past Accepting new patients
University Health System Inc Past Accepting new patients

Locations

317 N Gay St
Knoxville, TN 37917

1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350

11440 Parkside Dr
Ste 302
Knoxville, TN 37934
Phone (865) 218-9220

900 E Hill Ave
Ste 290
Knoxville, TN 37915
Phone (865) 525-1540

1925 Ailor Ave
Knoxville, TN 37921
Phone (865) 524-4422

1924 Alcoa Hwy
#56
Knoxville, TN 37920
Phone (865) 305-9081

1928 Alcoa Hwy
Ste 127
Knoxville, TN 37920
Phone (865) 305-8368

Organizations & group practices 10

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.

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194744516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 PARKSIDE DR",
            "address_2": "SUITE 302",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342658",
            "telephone_number": "865-288-1548",
            "fax_number": "865-377-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 PARKSIDE DR",
            "address_2": "SUITE 302",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342658",
            "telephone_number": "865-288-1548",
            "fax_number": "865-377-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "DANIEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD12755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.