Active NPI
Torey Michael Killom, D.O.
- Emergency Medicine Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 3017
- Practice address
- 1924 Alcoa Hwy
U-67
Knoxville, TN 37920-1511 - Phone
- (865) 305-5087
- NPI assigned
- Jun 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 3017 | TN | Primary |
| Internal Medicine Physician | 207R00000X | LL35696 | SC |
Addresses
Primary practice location
1924 Alcoa Hwy
U-67
Knoxville, TN 37920-1511
Mailing address
1701 Francis Rd
Unit a
Knoxville, TN 37909-5006
Phone (864) 455-7882
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1114 W Madison Ave
Athens, TN 37303-4150
Phone (423) 741-1411
Hospital & facility affiliations
- Affiliate of Vitruvian Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL35696 | SC | MD | Internal Medicine Physician |
| 35696 | SC | MD | Gynecologic Oncology Physician |
| 3017 | TN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| App of Tennessee Ed, PLLC | Emergency Medicine | Current | Accepting new patients |
| Medical Observation Services LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1114 W Madison Ave
Athens, TN 37303
Phone (423) 744-3256
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
Interoperability endpoints
- dr_torey_killom@yourcarecommunity.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
- Emergency Medicine Physician
- Cookeville, TN
- NPI 1669734877
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, TN
- NPI 1255171096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1356780894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 FRANCIS RD",
"address_2": "UNIT A",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379095006",
"telephone_number": "864-455-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 ALCOA HWY",
"address_2": "U-67",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201511",
"telephone_number": "865-305-5087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLOM",
"first_name": "TOREY",
"middle_name": "MICHAEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-18",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "3017",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "LL35696",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.