NPIMap

Individual provider Active NPI

Deepika A Tumkur, MD

  • Family Medicine Physician
  • Bluff City, TN
National Provider Identifier
1366508681
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41795 Issued in TN
Practice address
229 Highway 19 E
Bluff City, TN 37618-1865
Phone
(423) 538-5116
Fax
(423) 538-3861
NPI assigned
Dec 29, 2006
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101246399 VA
Family Medicine Physician 207Q00000X 41795 TN Primary

Addresses

Primary practice location

229 Highway 19 E
Bluff City, TN 37618-1865

Mailing address

PO Box 850
Rogersville, TN 37857-0850
Phone (423) 538-5116

Other practice location 1

737 E Sevier Ave
Kingsport, TN 37660-4912
Phone (423) 246-7922

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
I20070309000360 TN Practitioner - Family Practice 1658474747 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians

Practice addresses (Care Compare)

505 N Roan St
Johnson City, TN 37601-4740
Phone (423) 975-2000

725 Crum St
Greeneville, TN 37743-6118
Phone (423) 639-8131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101246399VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Oct 23, 2019 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 1, 2021 Accepting new patients
Holston Medical Group PC Family Medicine CurrentSince Jan 1, 1999 Accepting new patients
Elizabethton Medical Investors LP Past Accepting new patients
Kingsport Consultants Past Accepting new patients
Laughlin Operating Group LLC Past Accepting new patients
Center on Aging and Health LLC Past Accepting new patients
Christian Care Center of Unicoi County LLC Past Accepting new patients
Inpatient Consultants of Tennessee, P.C. Past Accepting new patients
Life Care Centers of America, Inc. Past Accepting new patients
Takoma Regional Hospital Inc Past Accepting new patients

Locations

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

119 Boone Ridge Dr
Ste 201
Johnson City, TN 37615
Phone (423) 928-1145

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

2204 Pavilion Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3900

121 Advanced Technology Dr
Duffield, VA 24244
Phone (276) 431-2648

153 Ross Carter Blvd
Duffield, VA 24244
Phone (276) 431-2648

1754 US Highway 23 North
Weber City, VA 24290
Phone (276) 386-5980

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
Life Care Center of ElizabethtonElizabethton, TN, CCN 445302 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 28, 2018
Mar 31, 2025
Christian Care Center of Unicoi CountyErwin, TN, CCN 445077 Skilled nursing facility Adp of the SNF Jan 1, 2019
Laughlin Healthcare CenterGreeneville, TN, CCN 445264 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2025
May 1, 2025

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 12

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 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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1366508681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378570850",
            "telephone_number": "423-538-5116",
            "fax_number": "423-538-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 HIGHWAY 19 E",
            "city": "BLUFF CITY",
            "state": "TN",
            "postal_code": "376181865",
            "telephone_number": "423-538-5116",
            "fax_number": "423-538-3861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "737 E Sevier Ave",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604912",
            "country_code": "US",
            "telephone_number": "423-246-7922",
            "fax_number": "423-246-4248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUMKUR",
        "first_name": "DEEPIKA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101246399",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "41795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluff City, TN

Sources for this page

Verify at the official NPI Registry.