Individual provider Active NPI

Kevin James Sentell, MD

  • Diagnostic Radiology Physician
  • Maryville, TN
National Provider Identifier
1295702702
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD024256 Issued in TN
Practice address
907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone
(865) 977-5567
Fax
(865) 980-4962
NPI assigned
Mar 2, 2006
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD024256 TN Primary

Addresses

Primary practice location

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015

Mailing address

PO Box 1445
Indianapolis, IN 46206-1445
Phone (866) 388-2916

Other identifiers 6

IdentifierTypeStateIssuer
3075963MedicaidTN
P00377637OtherTNRR MCARE
3075969MedicaidTN
64092687MedicaidKY
3075962MedicaidTN
4139450OtherTNBCBS

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
I20040105000848 TN Practitioner - Diagnostic Radiology 2163321571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leconte Radiology PCGroup PAC ID 1850373705, 31 clinicians

Practice addresses (Care Compare)

266 Joule St
Alcoa, TN 37701-2422
Phone (865) 984-3864

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 977-5567

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.59 of 100Reported as group
Quality
93.8
Improvement activities
40
Cost
79.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD024256TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Radiology, PC. Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Nov 1, 2006 Accepting new patients
Jackson Radiology Associates PA Diagnostic Radiology Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Jackson Madison County General Hospital Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients

Locations

266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864

Dept 888302
Knoxville, TN 37995

801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (655) 845-7278

3959 Highway 411
Madisonville, TN 37354
Phone (423) 442-2121

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1111 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 724-0867

Interoperability endpoints

  • Direct secure messaging: ksentell859103@direct.ghs.myhfn.org

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

Hospital & facility affiliations 1

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1295702702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1445",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061445",
            "telephone_number": "866-388-2916",
            "fax_number": "855-388-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045015",
            "telephone_number": "865-977-5567",
            "fax_number": "865-980-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENTELL",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD024256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075963",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "P00377637",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075969",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64092687",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075962",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4139450",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.