Individual provider Active NPI

Thomas Benton Repine, MD

  • Hematology & Oncology Physician
  • Oak Ridge, TN
National Provider Identifier
1245324938
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
46895 Issued in TN
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

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1523630MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110520000490 TN Practitioner - Hematology/Oncology 7517018377 Reassigns benefits to 1 organization

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
Thompson Oncology GroupGroup PAC ID 0941246771, 65 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46895TNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Oncology Group Hematology & Oncology CurrentSince Jun 13, 2011 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.