Evgeniya Teterina Mohammed, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

62857 Issued in TN

Practice address

599 Oak Ridge Tpke
Oak Ridge, TN 37830-7177

Phone

(865) 482-2129

Fax

(865) 482-4036

NPI assigned

Apr 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Dermatology

Education

East Tennessee State University Quillen College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Oak Ridge,PCGroup PAC ID 9830190628, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dermatology Associates of Oak Ridge,PC

  • Specialist
  • Oak Ridge, TN
  • NPI 1558467951
  Medicare reassignment Care Compare group NPD
• Dermatology Assoc.of Oak Ridge,PC

  • Nurse Practitioner
  • Oak Ridge, TN
  • NPI 1710145537
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  Care Compare affiliation

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1255865234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 OAK RIDGE TPKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307177",
            "telephone_number": "865-482-2129",
            "fax_number": "865-482-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 OAK RIDGE TPKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307177",
            "telephone_number": "865-482-2129",
            "fax_number": "865-482-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETERINA MOHAMMED",
        "first_name": "EVGENIYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "62857",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennessee Orthopaedic Clinics PC
• Tennessee Orthopaedic Clinics PC
• Tennessee Orthopaedic Clinics PC
• Tennessee Urology Associates, PLLC
• Tennessee Urology Associates, PLLC
• Emily Thais
• Prashant Kumar Thakur, MD
• The Estates of Oak Ridge LLC
• The Eye Surgery Center of Oak Ridge LLC
• The Homecare Company of Tennessee, LLC

• Dermatology Physician in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.

Verify at the official NPI Registry.