Individual provider Active NPI

Isaac W Cline, M.D.

  • Gastroenterology Physician
  • Maryville, TN
National Provider Identifier
1245592823
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD57296 Issued in TN
Practice address
1706 E Lamar Alexander Pkwy
Maryville, TN 37804-6204
Phone
(865) 983-0073
Fax
(865) 983-2201
NPI assigned
Jun 11, 2012
Last updated
Feb 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD57296 TN Primary

Addresses

Primary practice location

1706 E Lamar Alexander Pkwy
Maryville, TN 37804-6204

Mailing address

1706 E Lamar Alexander Pkwy
Maryville, TN 37804-6204
Phone (865) 983-0073

Other identifiers 1

IdentifierTypeStateIssuer
Q036551MedicaidTN

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
I20180717000925 TN Practitioner - Gastroenterology 3476780784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Virginia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blount Gastroenterology Assoc PCGroup PAC ID 4880639368, 6 clinicians

Practice addresses (Care Compare)

1706 E Lamar Alexander Pkwy
Maryville, TN 37804-6204
Phone (865) 983-0073

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as individual
Quality
90.37
Improvement activities
40
Cost
75.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy212
Upper gastrointestinal (GI) endoscopy for acid reflux152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD57296TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blount Gastroenterology Assoc PC Gastroenterology CurrentSince Jul 14, 2018 Accepting new patients

Locations

1706 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 983-0073

Interoperability endpoints

  • Direct secure messaging: icline872681@direct.ghs.myhfn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1245592823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378046204",
            "telephone_number": "865-983-0073",
            "fax_number": "865-983-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378046204",
            "telephone_number": "865-983-0073",
            "fax_number": "865-983-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "ISAAC",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD57296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036551",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.