Individual provider Active NPI

Oscar H. Grandas, MD

  • Vascular Surgery Physician
  • Knoxville, TN
National Provider Identifier
1366550014
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
38851 Issued in TN
Practice address
1940 Alcoa Hwy
Ste E 120
Knoxville, TN 37920
Phone
(865) 305-8040
Fax
(865) 305-8041
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 204F00000X 38851 TN
Vascular Surgery Physician 2086S0129X 38851 TN Primary

Addresses

Primary practice location

1940 Alcoa Hwy
Ste E 120
Knoxville, TN 37920

Mailing address

PO Box 440265
Nashville, TN 37244-0265
Phone (865) 670-6199

Other identifiers 1

IdentifierTypeStateIssuer
1517043MedicaidTN

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
I20041015000182 TN Practitioner - Vascular Surgery 5294795035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1130 Middle Creek Rd
Suite 270
Sevierville, TN 37862-2941
Phone (865) 305-8761

11440 Parkside Dr
Suite 202
Knoxville, TN 37934-2661
Phone (865) 305-5622

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1940 Alcoa Hwy
Suite E120
Knoxville, TN 37920-2259
Phone (865) 305-8040

6232 W Andrew Johnson Hwy
Suite 2300
Talbott, TN 37877-8604
Phone (865) 305-5940

6242 W Andrew Johnson Hwy
Talbott, TN 37877-8604
Phone (423) 690-3250

7326 Maynardville Pike
Knoxville, TN 37938-3717

907 E Lamar Alexander Pkwy
Suite 425
Maryville, TN 37804-5015
Phone (865) 305-8040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38851TNMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Aug 1, 2014 Accepting new patients
University Diagnostics, LLC Single Specialty CurrentSince Jan 25, 2023 Accepting new patients
University Diagnostics, LLC Single Specialty CurrentSince Jan 31, 2023 Accepting new patients
University Health System, Inc Single Specialty Current Accepting new patients
University Health System, Inc Single Specialty CurrentSince Aug 1, 2014 Accepting new patients
University Diagnostics, LLC Single Specialty CurrentSince Mar 1, 2023 Accepting new patients
Knoxville Neurology Specialists, PLLC Single Specialty Past Accepting new patients
University Vascular Surgeons, PLLC Single Specialty Past Accepting new patients
University Health System, Inc. Single Specialty Past Accepting new patients
Leconte Orthopedics, PLLC Single Specialty PastSince Nov 1, 2006 Accepting new patients

Locations

1932 Alcoa Hwy
Ste 470
Knoxville, TN 37920
Phone (865) 544-6935

1940 Alcoa Hwy
Ste E120
Knoxville, TN 37920
Phone (865) 305-8040

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1924 Alcoa Hwy
Ste E
Knoxville, TN 37920
Phone (865) 524-7471

1940 Alcoa Hwy
Ste E40
Knoxville, TN 37920
Phone (865) 305-5510

907 E Lamar Alexander Pkwy
Ste 425
Maryville, TN 37804
Phone (865) 305-8040

Organizations & group practices 10

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 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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1366550014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440265",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440265",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "address_2": "STE E 120",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "865-305-8040",
            "fax_number": "865-305-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDAS",
        "first_name": "OSCAR",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Transplant Surgery",
            "state": "TN",
            "license": "38851",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "38851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517043",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.