Knoxville Rheumatology PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

KNOXVILLE RHEUMATOLOGY PLLC

Practice address

2072 Lakeside Centre Way
Knoxville, TN 37922-6591

Phone

(716) 445-0150

NPI assigned

Apr 22, 2020

Organization subpart

No

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

Authorized official

Name

Mishal Abdullah, MDNPI 1730319518

Title

President

Phone

(716) 445-0150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mishal Abdullah, M.D.

  • Rheumatology Physician
  • Knoxville, TN
  • NPI 1730319518
  Medicare reassignment Care Compare group NPD Authorized official
• Brooke Cottrell, PA-C

  • Medical Physician Assistant
  • Knoxville, TN
  • NPI 1528893211
  Medicare reassignment Care Compare group
• Emma Ruth Park, DNP

  • Critical Care Medicine (Internal Medicine) Physician
  • Knoxville, TN
  • NPI 1225712730
  Medicare reassignment Care Compare group
• Alicia Kay Jett, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1861040883
  Medicare reassignment NPD

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1386264067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12951 SIENA LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341012",
            "telephone_number": "716-445-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 LAKESIDE CENTRE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226591",
            "telephone_number": "716-445-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE RHEUMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "ABDULLAH",
        "authorized_official_first_name": "MISHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-445-0150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Knoxville Pulmonary Group, P.a.
• Knoxville Radiological Group Associated
• Knoxville Recovery Center
• Knoxville Rehabilitation Hospital, LLC (Knoxville Rehabilitation Hospital)
• Knoxville Rehabilitation Specialists
• Knoxville Spine & Sports Inc
• Knoxville Spine Surgery LLC
• Knoxville TN Opco LLC
• Knoxville-Knox County Community Action Committee
• Kaitlyn Michelle Knuckles, OTR/L

• Rheumatology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Rheumatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.