Andrew Baither Conrad, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Knoxville, TN
NPI 1295978658 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1295978658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 52822 (TN)
- Practice address
- 2001 Laurel Ave # N304
Knoxville, TN 37916-1810 - Phone
- (865) 595-4100
- NPI assigned
- Apr 15, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Vanderbilt University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vista Radiology, PC
Practice addresses (Care Compare)
2001 Laurel Ave
Suite N304
Knoxville, TN 37916-1810
Phone (865) 546-9484
Hospital & facility affiliations
- Fort Sanders Regional Medical Center
- Morristown Hamblen Hospital Association
- Leconte Medical Center
- Parkwest Medical Center
- Roane Medical Center
- Select Specialty Hospital-North Knoxville
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.28 of 100
- Quality
- 75.62
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150731016974 | TN | Practitioner - Diagnostic Radiology |
4587978705 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52822 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Radiology, PC. | Diagnostic Radiology | Current |
Accepting new patients |
Locations
Dept 888302
Knoxville, TN 37995
6344 Lonas Spring Dr
Knoxville, TN 37909
Phone (865) 247-8422
1901 Clinch Ave
#4N
Knoxville, TN 37916
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 52822 | TN | Yes |
Addresses
Primary practice location
2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Mailing address
2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q014311 | Medicaid | TN |
Other providers in Knoxville, TN
- Megan Hope Conner
- Niki Connor
- Rebecca Katherine Connor
- Justice Renee Conover
- Jennifer Lyn Conrad-Rendon
- Brenda K Conrad
- Matthew Mark Conrad
- Sharolyn Kay Conrad
- Brian R. Conroy
- Contemporary Therapeutic Solutions, Inc.
All providers in Knoxville, TN · Diagnostic Radiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.