Individual provider Active NPI

Michael John Coffey, MD

  • Gastroenterology Physician
  • Maryville, TN
National Provider Identifier
1225091564
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD0000029192 Issued in TN
Practice address
1706 E Lamar Alexander Pkwy
Maryville, TN 37804-6204
Phone
(865) 983-0073
Fax
(865) 984-1731
NPI assigned
Apr 8, 2006
Last updated
Jul 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD0000029192 TN Primary

Addresses

Primary practice location

1706 E Lamar Alexander Pkwy
Maryville, TN 37804-6204

Mailing address

1706 E Lamar Alexander Pkwy
Maryville, TN 37804-6204
Phone (865) 983-0073

Other identifiers 1

IdentifierTypeStateIssuer
3812225MedicaidTN

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
I20111005000334 TN Practitioner - Gastroenterology 6305018896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Rutgers New Jersey Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blount Gastroenterology Assoc PCGroup PAC ID 4880639368, 6 clinicians

Practice addresses (Care Compare)

1706 E Lamar Alexander Pkwy
Maryville, TN 37804-6204
Phone (865) 983-0073

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.79 of 100Reported as individual
Quality
97.44
Improvement activities
40
Cost
72.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy194
Upper gastrointestinal (GI) endoscopy for acid reflux103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000029192TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blount Gastroenterology Assoc PC Gastroenterology CurrentSince Feb 15, 1999 Accepting new patients

Locations

1706 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 983-0073

Interoperability endpoints

  • Direct secure messaging: mcoffey872685@direct.ghs.myhfn.org

Organizations & group practices 1

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 3

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1225091564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378046204",
            "telephone_number": "865-983-0073",
            "fax_number": "865-984-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378046204",
            "telephone_number": "865-983-0073",
            "fax_number": "865-984-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD0000029192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3812225",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.