Active NPI
Brian M. Covino, M.D.
- Orthopaedic Surgery Physician
- Knoxville, TN
National Provider Identifier
1235106584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD24800
- Practice address
- 1422 Old Weisgarber Rd
Knoxville, TN 37909-2674 - Phone
- (865) 558-4400
- Fax
- (865) 558-4471
- NPI assigned
- Mar 7, 2006
- Last updated
- Jun 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD24800 | TN | Primary |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 24800 | TN |
Addresses
Primary practice location
1422 Old Weisgarber Rd
Knoxville, TN 37909-2674
Mailing address
1422 Old Weisgarber Rd
Knoxville, TN 37909-1293
Phone (865) 558-4400
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100010010 | Other | TN | TENNCARE |
| 1193933 | Other | TN | UNITED HEALTH CARE |
| TN0119 | Other | TN | JOHN DEERE HEALTHCARE |
| TN0142 | Other | TN | JOHN DEERE HEALTHCARE |
| 3071386 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3077324 | Medicaid | TN | |
| 200029920 | Other | TN | RAILROAD MEDICARE |
| 4465405 | Other | TN | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24800 | TN | MD | Orthopaedic Surgery Physician |
| 24800 | TN | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthotennessee, PC | Orthopaedic Surgery | Past | Accepting new patients |
| Orthotennessee, PC | Past | Accepting new patients | |
| Orthotennessee, PC | Orthopaedic Surgery | Past | Accepting new patients |
| Orthotennessee | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
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Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1235106584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 OLD WEISGARBER RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379091293",
"telephone_number": "865-558-4400",
"fax_number": "865-558-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 OLD WEISGARBER RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092674",
"telephone_number": "865-558-4400",
"fax_number": "865-558-4471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVINO",
"first_name": "BRIAN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "MD24800",
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "TN",
"license": "24800",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE",
"identifier": "100010010",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1193933",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTHCARE",
"identifier": "TN0119",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTHCARE",
"identifier": "TN0142",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3071386",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077324",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200029920",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4465405",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.