NPIMap

Individual provider Active NPI

Murugesen Dhandapani, M.D.

  • Family Medicine Physician
  • La Follette, TN
National Provider Identifier
1306876537
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD34646 Issued in TN
Practice address
2425 Jacksboro Pike
La Follette, TN 37766-2908
Phone
(423) 566-4748
Fax
(423) 566-4119
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD34646 TN Primary

Addresses

Primary practice location

2425 Jacksboro Pike
La Follette, TN 37766-2908

Mailing address

2425 Jacksboro Pike
La Follette, TN 37766-2908
Phone (423) 566-4748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041004000757 TN Practitioner - Family Practice 3577522838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Healthcare and Medical Center PLLC 2 clinicians

Practice addresses (Care Compare)

2425 Jacksboro Pike
La Follette, TN 37766-2908
Phone (423) 566-4748

Hospital & facility affiliations

  • Amedisys Home Health of Tennessee Home health agency, Tazewell, TN, CCN 447188
  • Lafollette Medical Center Hospital, La Follette, TN, CCN 440033
  • Claiborne Medical Center Hospital, Tazewell, TN, CCN 440057
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Cumberland Village Care Nursing home, Lafollette, TN, CCN 445276
  • Tennova Lafollette Health and Rehab Center Nursing home, Lafollette, TN, CCN 445115
  • Claiborne Health and Rehabilitation Center Nursing home, Tazewell, TN, CCN 445071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD34646TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Healthcare and Medical Center PLLC Family Medicine CurrentSince Sep 12, 2010 Accepting new patients
Campbell County Hma LLC Past Accepting new patients
Sunbridge Regency - Tennessee LLC Past Accepting new patients
Complete Rural Healthcare and Medical Center PLLC Past Accepting new patients
Claiborne Medical Center Past Accepting new patients
Complete Healthcare Medical Center Family Medicine Past Accepting new patients
Abercrombie Radiological Consultants Inc PastSince Oct 3, 2018 Accepting new patients
Campbell County Hma, LLC Past Accepting new patients

Locations

3170 Appalachian Hwy
Ste 5
Jacksboro, TN 37757
Phone (423) 566-4748

2146 Jacksboro Pike
Ste C
La Follette, TN 37766
Phone (423) 566-4648

2146 Jacksboro Pike
#C
La Follette, TN 37766
Phone (423) 566-4748

2146 Jacksboro Pike
La Follette, TN 37766
Phone (423) 566-4120

2425 Jacksboro Pike
La Follette, TN 37766
Phone (423) 563-0038

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACCICA/Endpoint/ACCICA
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/ab055465-7179-491b-bb98-b210ff152aa7

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tennova Lafollette Health & Rehabilitation CenterLa Follette, TN, CCN 445115 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 29, 2000
Feb 10, 2025
Family Healthcare Clinic LLCOliver Springs, TN, CCN 448935 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 8, 2012
May 1, 2012
Complete Healthcare Medical CenterLa Follette, TN, CCN 448971 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Sep 1, 2010
Sep 1, 2010

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1306876537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 JACKSBORO PIKE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662908",
            "telephone_number": "423-566-4748",
            "fax_number": "423-566-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 JACKSBORO PIKE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662908",
            "telephone_number": "423-566-4748",
            "fax_number": "423-566-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANDAPANI",
        "first_name": "MURUGESEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD34646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Follette, TN

Sources for this page

Verify at the official NPI Registry.