Individual provider Active NPI

Roger Riedel, M.D.

  • Interventional Cardiology Physician
  • Sevierville, TN
National Provider Identifier
1356331805
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
36883 Issued in TN
Practice address
744 Middle Creek Rd
Suite 114
Sevierville, TN 37862-5019
Phone
(865) 446-9575
Fax
(865) 446-9576
NPI assigned
Oct 26, 2005
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 36883 TN
Interventional Cardiology Physician 207RI0011X 36883 TN Primary

Addresses

Primary practice location

744 Middle Creek Rd
Suite 114
Sevierville, TN 37862-5019

Mailing address

744 Middle Creek Rd
Suite 114
Sevierville, TN 37862-5019
Phone (865) 446-9575

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address riedel.rogeraaron@covenanthealth.cernerdirect.com

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
I20040130000509 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0345143947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Creighton University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkwest Medical CenterGroup PAC ID 8527965417, 58 clinicians
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians
Leconte Medical CenterGroup PAC ID 0244225985, 3 clinicians

Practice addresses (Care Compare)

1104 Foxwood Dr
Sevierville, TN 37862-9366
Phone (865) 970-9800

111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554

742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 446-7000

744 Middle Creek Rd
Sevierville, TN 37862-5036

7625 Chapman Hwy
Suite 103
Knoxville, TN 37920-2353
Phone (865) 632-5893

9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1974

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.49 of 100Reported as individual
Quality
88.99
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36883TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Medical Center CurrentSince Jun 14, 2015 Accepting new patients
Covenant Medical Group, Inc. Cardiovascular Disease CurrentSince Jan 1, 2010 Accepting new patients
Covenant Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
East Tennessee Heart Consultants, P.C. Cardiovascular Disease Past Accepting new patients
Parkwest Medical Center Past Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

744 Middle Creek Rd
Ste 114
Sevierville, TN 37862
Phone (865) 446-9575

Interoperability endpoints

  • Direct secure messaging: riedel.rogeraaron@covenanthealth.cernerdirect.com

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 5

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1356331805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 MIDDLE CREEK RD",
            "address_2": "SUITE 114",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625019",
            "telephone_number": "865-446-9575",
            "fax_number": "865-446-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 MIDDLE CREEK RD",
            "address_2": "SUITE 114",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625019",
            "telephone_number": "865-446-9575",
            "fax_number": "865-446-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDEL",
        "first_name": "ROGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "36883",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "36883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "riedel.rogeraaron@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "744 Middle Creek Rd",
            "address_2": "Suite 114",
            "city": "Sevierville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378625019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.