Individual provider Active NPI

Samuel Porter, M.D.

  • Diagnostic Radiology Physician
  • Chattanooga, TN
National Provider Identifier
1225284557
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
51053 Issued in TN
Practice address
975 E 3Rd St
Chattanooga, TN 37403-2147
Phone
(423) 778-7234
NPI assigned
Aug 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 51053 TN
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 51053 TN Primary

Addresses

Primary practice location

975 E 3Rd St
Chattanooga, TN 37403-2147

Mailing address

975 E 3Rd St # 376
Chattanooga, TN 37403-2147
Phone (423) 778-7234

Other identifiers 1

IdentifierTypeStateIssuer
Q006866MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140521002612 TN Practitioner - Diagnostic Radiology 1153544044 Reassigns benefits to 1 organization
I20160427001970 GA Practitioner - Diagnostic Radiology 1153544044 Reassigns benefits to 1 organization
I20160627002362 NC Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 1153544044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Interventional and Imaging Associates PLLCGroup PAC ID 4688897473, 33 clinicians

Practice addresses (Care Compare)

3990 E US 64 Alt
Murphy, NC 28906-6843
Phone (423) 778-7234

975 E 3Rd St
Box 376
Chattanooga, TN 37403-2147
Phone (423) 778-7234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
85.9
Improvement activities
40
Cost
72.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51053TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Interventional and Imaging Associates, PLLC Diagnostic Radiology CurrentSince Jul 19, 2014 Accepting new patients

Locations

162 Legacy Pt
Clayton, GA 30525
Phone (706) 782-0408

196 Ridgecrest Cir
Clayton, GA 30525
Phone (706) 746-6571

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

975 E 3rd St
#376
Chattanooga, TN 37403
Phone (423) 778-6216

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1225284557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST # 376",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TN",
            "license": "51053",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "51053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006866",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.