Timothy David Patru, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301108701 Issued in MI

Practice address

8033 Ray Mears Blvd
Knoxville, TN 37919-5458

Phone

(423) 926-1171

Fax

(916) 251-0414

NPI assigned

May 31, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1376804831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 RAY MEARS BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195458",
            "telephone_number": "423-926-1171",
            "fax_number": "916-251-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 RAY MEARS BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195458",
            "telephone_number": "423-926-1171",
            "fax_number": "916-251-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRU",
        "first_name": "TIMOTHY",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301108701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aundrea Nicole Patrick, APRN
• Jordan Taylor Patrick, MD
• Terrell Patrick
• Tinsley Patrick, MD
• Whitney Paige Patrick, SLP
• Andrew Rex Patten, DDS
• Patterns Behavioral Services Tennessee Inc
• Amanda Dezere'a Patterson, LMSW
• Cherain Patterson, CNA
• Erin Patterson, NP-C

• Family Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.