Individual provider Active NPI

Jamshed U Haq, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Knoxville, TN
National Provider Identifier
1265408553
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
8593 Issued in TN
Practice address
137 Blount Ave
Knoxville, TN 37871
Phone
(865) 632-5992
Fax
(865) 632-5316
NPI assigned
Feb 27, 2006
Last updated
Nov 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 8593 TN Primary

Addresses

Primary practice location

137 Blount Ave
Knoxville, TN 37871

Mailing address

PO Box 11784
Knoxville, TN 37939-1784
Phone (865) 588-2928

Other identifiers 4

IdentifierTypeStateIssuer
4011829OtherTNBCBS OF TN
3040850MedicaidTN
64775976MedicaidKY
PT26301OtherTNUHC

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
I20080826000796 TN Practitioner - Pathology 0446325419 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8593TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatopathology Partners PC CurrentSince Dec 1, 2022 Accepting new patients
Knoxville Dermatopathology Laboratory LLC CurrentSince Nov 1, 2009 Accepting new patients
Radiology Imaging Associates of Oak Ridge PC Past Accepting new patients
Innovative Pathology Services PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Knoxville Associated Pathologists PC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

139 Fox Rd
Ste 204
Knoxville, TN 37922
Phone (865) 201-2560

315 Erin Dr
Knoxville, TN 37919
Phone (865) 321-4001

Dept 888107
Knoxville, TN 37995

Dept 888136
Knoxville, TN 37995

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1265408553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11784",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379391784",
            "telephone_number": "865-588-2928",
            "fax_number": "865-450-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 BLOUNT AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37871",
            "telephone_number": "865-632-5992",
            "fax_number": "865-632-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQ",
        "first_name": "JAMSHED",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "8593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4011829",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3040850",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64775976",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "PT26301",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.