NPIMap

Organization Active NPI

Radiation Medicine Specialists, P.C.

  • Radiation Oncology Physician
  • Knoxville, TN
National Provider Identifier
1245454420
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
RADIATION MEDICINE SPECIALISTS, P.C.
Practice address
1924 Alcoa Hwy
Radiation Therapy Department
Knoxville, TN 37920-1511
Phone
(865) 544-9554
Fax
(865) 544-8873
NPI assigned
Apr 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Bertoli, MDNPI 1477601235
Title
Officer
Phone
(865) 544-9554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

1924 Alcoa Hwy
Radiation Therapy Department
Knoxville, TN 37920-1511

Mailing address

PO Box 3877
Knoxville, TN 37927-3877
Phone (865) 544-9554

Other identifiers 1

IdentifierTypeStateIssuer
3378825MedicaidTN

National Provider Directory

National Provider Directory

Locations

1924 Alcoa Hwy
#106
Knoxville, TN 37920
Phone (865) 544-9554

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245454420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379273877",
            "telephone_number": "865-544-9554",
            "fax_number": "865-544-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "RADIATION THERAPY DEPARTMENT",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-544-9554",
            "fax_number": "865-544-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION MEDICINE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERTOLI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "865-544-9554",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3378825",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.