NPIMap

Individual provider Active NPI

Devapiran Jaishankar, M.D.

  • Medical Oncology Physician
  • Greeneville, TN
National Provider Identifier
1225038490
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
45463 Issued in TN
Practice address
1410 Tusculum Blvd Ste 2200
Greeneville, TN 37745-5822
Phone
(423) 639-0243
Fax
(423) 639-0628
NPI assigned
Jul 28, 2005
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 45463 TN Primary

Addresses

Primary practice location

1410 Tusculum Blvd Ste 2200
Greeneville, TN 37745-5822

Mailing address

900 E Hill Ave Ste 230
Knoxville, TN 37915-2565
Phone (865) 862-0998

Other practice location 1

4 Sheridan Sq Ste 102
Kingsport, TN 37660-7435
Phone (423) 588-7140

Other names 1

  • Jaishankar Devapiran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100324000509 TN Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 7618002080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 Sunset Dr
Suite 3
Johnson City, TN 37604-7906
Phone (423) 588-7130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45463TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Cancer Specialists PLLC CurrentSince Jul 2, 2024 Accepting new patients
Tennessee Cancer Specialist PLLC CurrentSince Jul 2, 2024 Accepting new patients
Pine Mountain Clinic PSC Medical Oncology Past Accepting new patients
Pineville Primary Care, PSC Past Accepting new patients

Locations

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

1410 Tusculum Blvd
Ste 2200
Greeneville, TN 37745
Phone (423) 639-0243

1665 E Andrew Johnson Hwy
Ste 2
Greeneville, TN 37745
Phone (423) 639-0243

1301 Sunset Dr
Ste 3
Johnson City, TN 37604
Phone (423) 588-7130

4 Sheridan Sq
Ste 102
Kingsport, TN 37660
Phone (423) 246-8196

1415 Old Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 934-5806

6016 Brookvale Ln
Ste 200
Knoxville, TN 37919
Phone (865) 862-0998

900 E Hill Ave
Ste 230
Knoxville, TN 37915
Phone (865) 862-0998

7551 Dannaher Dr
Powell, TN 37849
Phone (865) 637-9330

Organizations & group practices 4

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 7

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1225038490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E HILL AVE STE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379152565",
            "telephone_number": "865-862-0998",
            "fax_number": "865-544-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD STE 2200",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455822",
            "telephone_number": "423-639-0243",
            "fax_number": "423-639-0628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Sheridan Sq Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376607435",
            "country_code": "US",
            "telephone_number": "423-588-7140",
            "fax_number": "423-588-7141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAISHANKAR",
        "first_name": "DEVAPIRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TN",
            "license": "45463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAISHANKAR",
            "last_name": "DEVAPIRAN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.