Individual provider Active NPI

Ikuyo Imayama, MD

  • Pulmonary Disease Physician
  • Knoxville, TN
National Provider Identifier
1205253887
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
70556 Issued in TN
Practice address
6473 Kingston Pike
Knoxville, TN 37919-4832
Phone
(865) 588-8841
Fax
(865) 588-8841
NPI assigned
Mar 21, 2014
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 70556 TN
Pulmonary Disease Physician 207RP1001X 70556 TN Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 036139811 IL

Addresses

Primary practice location

6473 Kingston Pike
Knoxville, TN 37919-4832

Mailing address

PO Box 207830
Dallas, TX 75320-7830
Phone (248) 781-8593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN2 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
I20200804000599 IL Practitioner - Sleep MedicinePractitioner - Pulmonary Disease 4587951421 Reassigns benefits to 1 organization
I20240826001824 TN Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4587951421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Critical Care (Intensivists), Internal Medicine, Pulmonary Disease
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

501 20TH St
Suite 303
Knoxville, TN 37916-1899
Phone (865) 331-1975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Statcare Outpatient, LLC Critical Care Medicine CurrentSince Jul 1, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Covenant Medical Group, Inc. Pulmonary Disease CurrentSince Dec 1, 2025 Accepting new patients
Statcare Inpatient LLC CurrentSince Jul 8, 2024 Accepting new patients
Covenant Medical Group, Inc CurrentSince Dec 1, 2025 Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients

Locations

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

840 S Wood St
Rm 920N
Chicago, IL 60612
Phone (312) 996-8039

719 Cook Dr
Ste 103
Athens, TN 37303
Phone (423) 339-3340

719 Cook Dr
Ste 113
Athens, TN 37303

6106 Shallowford Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 208-9377

8045 Roane Medical Center Dr
Ste 240
Harriman, TN 37748
Phone (865) 316-2876

2333 Knob Creek Rd
Ste 15
Johnson City, TN 37604
Phone (423) 854-5832

10904 Kingston Pike
Ste 102
Knoxville, TN 37934
Phone (865) 392-1540

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

501 20th St
Ste 303
Knoxville, TN 37916
Phone (865) 331-1375

6473 Kingston Pike
Knoxville, TN 37919
Phone (865) 909-0090

6473 Kingston Pike
Ste 6473
Knoxville, TN 37919
Phone (865) 269-6915

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

Dept 888179
Knoxville, TN 37995

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

800 Oak Ridge Tpke
Ste C200
Oak Ridge, TN 37830
Phone (865) 483-3594

944 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 835-3810

7551 Dannaher Dr
#102
Powell, TN 37849
Phone (865) 935-4949

744 Middle Creek Rd
Ste 208
Sevierville, TN 37862
Phone (865) 446-9675

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1205253887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207830",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207830",
            "telephone_number": "248-781-8593",
            "fax_number": "801-618-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6473 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194832",
            "telephone_number": "865-588-8841",
            "fax_number": "865-588-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAYAMA",
        "first_name": "IKUYO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "70556",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "70556",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036139811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.