Individual provider Active NPI

L Dean Knoll, MD

  • Urology Physician
  • Nashville, TN
National Provider Identifier
1346206893
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
18015 Issued in TN
Practice address
2801 Charlotte Ave
Nashville, TN 37209
Phone
(615) 250-9200
Fax
(615) 250-9251
NPI assigned
Apr 25, 2006
Last updated
Sep 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 18015 TN Primary

Addresses

Primary practice location

2801 Charlotte Ave
Nashville, TN 37209

Mailing address

2801 Charlotte Ave
Nashville, TN 37209
Phone (615) 250-9200

Other identifiers 1

IdentifierTypeStateIssuer
3028948MedicaidTN

Other names 1

  • Dr. Larry Dean Knoll Other name

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
I20101112000333 TN Practitioner - Urology 3072573807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates PCGroup PAC ID 2961392931, 42 clinicians

Practice addresses (Care Compare)

107 Glen Oak Blvd
Suite 100
Hendersonville, TN 37075-3161
Phone (615) 822-9336

2801 Charlotte Ave
Nashville, TN 37209-4035
Phone (615) 250-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18015TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates PC Urology CurrentSince Jul 1, 2014 Accepting new patients

Locations

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

2801 Charlotte Ave
Nashville, TN 37209
Phone (615) 250-9249

Interoperability endpoints

  • Direct secure messaging: ldeanknoll@uroassoc.allscriptsdirect.net

Organizations & group practices 1

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1346206893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CHARLOTTE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37209",
            "telephone_number": "615-250-9200",
            "fax_number": "615-250-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CHARLOTTE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37209",
            "telephone_number": "615-250-9200",
            "fax_number": "615-250-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLL",
        "first_name": "L",
        "middle_name": "DEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "18015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3028948",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARRY",
            "last_name": "KNOLL",
            "middle_name": "DEAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.