Active NPI
Thomas Benton Repine, MD
- Hematology & Oncology Physician
- Oak Ridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 46895
- Practice address
- 200 New York Ave
Oak Ridge, TN 37830-5212 - Phone
- (913) 433-7622
- Fax
- (913) 433-7623
- NPI assigned
- Oct 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 46895 | TN | Primary |
Addresses
Primary practice location
200 New York Ave
Oak Ridge, TN 37830-5212
Mailing address
1915 White Ave
Knoxville, TN 37916-2300
Phone (865) 541-1485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1523630 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | repine.thomas@covenanthealth.cernerdirect.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Vanderbilt University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1915 White Ave
Knoxville, TN 37916-2300
Phone (865) 541-1720
576 Ft Loudoun Medical Ctr
Suite 203
Lenoir City, TN 37772-5676
Phone (865) 271-6095
710 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 446-9075
9711 Sherrill Blvd
Knoxville, TN 37932-3330
Phone (865) 374-3901
Hospital & facility affiliations
- Methodist Medical Center of Oak Ridge
- Fort Sanders Regional Medical Center
- Parkwest Medical Center
- Leconte Medical Center
- Roane Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46895 | TN | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thompson Oncology Group | Hematology & Oncology | Current | Accepting new patients |
| Kansas City Cancer Center, LLC | Hematology & Oncology | Past | Accepting new patients |
Locations
Dept 888078
Knoxville, TN 37995
Knoxville, TN 37995
1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065
200 New York Ave
Oak Ridge, TN 37830
Phone (865) 483-7511
200 New York Ave
Ste 200
Oak Ridge, TN 37830
Phone (865) 331-1720
710 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 446-9025
Organizations & group practices 2
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.
-
dba DBA Covenant Health Oncology Group
- Hematology & Oncology Physician
- Knoxville, TN
- NPI 1619975737
-
- Medical Oncology Physician
- Overland Park, KS
- NPI 1003864471
Hematology & Oncology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
-
- General Acute Care Hospital
- Sevierville, TN
- NPI 1528052578
-
- General Acute Care Hospital
- Oak Ridge, TN
- NPI 1700870672
-
dba Peninsula Div Parkwest MC
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
-
dba Covenant Health Roane
- General Acute Care Hospital
- Harriman, TN
- NPI 1700036696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1245324938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 WHITE AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162300",
"telephone_number": "865-541-1485",
"fax_number": "865-541-2564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NEW YORK AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378305212",
"telephone_number": "913-433-7622",
"fax_number": "913-433-7623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPINE",
"first_name": "THOMAS",
"middle_name": "BENTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TN",
"license": "46895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1523630",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "repine.thomas@covenanthealth.cernerdirect.com",
"affiliation": "N",
"address_1": "200 New York Ave",
"city": "Oak Ridge",
"state": "TN",
"country_code": "US",
"postal_code": "378305212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.