Individual provider Active NPI

Thimmappayya Hasanadka, MD

  • Psychiatry Physician
  • Knoxville, TN
National Provider Identifier
1255469359
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
37884 Issued in TN
Practice address
5908 Lyons View
Knoxville, TN 37919
Phone
(865) 583-8768
Fax
(865) 450-5203
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 37884 TN Primary

Addresses

Primary practice location

5908 Lyons View
Knoxville, TN 37919

Mailing address

5908 Lyons View
Knoxville, TN 37919

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
I20100622000501 TN Practitioner - Psychiatry 0648301515 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37884TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee State F & a Payroll CurrentSince Oct 1, 2020 Accepting new patients
State of Tennessee Current Accepting new patients
State of Tennessee CurrentSince Oct 1, 2020 Accepting new patients
State of Tennessee-Western Mental Health Institute CurrentSince May 7, 2012 Accepting new patients
State of Michigan Office of Financial Management Past Accepting new patients
State of Michigan Office of Financial Management PastSince Sep 24, 2023 Accepting new patients

Locations

11100 Highway 64
Bolivar, TN 38008
Phone (731) 228-0772

100 Moccasin Bend Rd
Chattanooga, TN 37405
Phone (423) 785-3321

5908 Lyons View Pike
Knoxville, TN 37919
Phone (865) 583-8768

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255469359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 LYONS VIEW",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "fax_number": "865-450-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 LYONS VIEW",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-583-8768",
            "fax_number": "865-450-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASANADKA",
        "first_name": "THIMMAPPAYYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "37884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.