Individual provider Active NPI

Michael Benton Freeman, MD

  • Vascular Surgery Physician
  • Knoxville, TN
National Provider Identifier
1396769717
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD018033 Issued in TN
Practice address
1940 Alcoa Hwy
Suite 120 Heart Lung Vascular Instiute
Knoxville, TN 37920
Phone
(865) 544-8040
Fax
(865) 544-8041
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD018033 TN Primary

Addresses

Primary practice location

1940 Alcoa Hwy
Suite 120 Heart Lung Vascular Instiute
Knoxville, TN 37920

Mailing address

1924 Alcoa Hwy
U11
Knoxville, TN 37920
Phone (865) 544-9295

Other identifiers 1

IdentifierTypeStateIssuer
3027402MedicaidTN

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
I20120123000212 TN Practitioner - Vascular SurgeryPractitioner - General Surgery 8325017494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Medical College of Georgia School of Medicine, 1980
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)

1940 Alcoa Hwy
Suite E40
Knoxville, TN 37920-1515
Phone (865) 305-5510

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Starr Regional Medical Center Athens Hospital, Athens, TN, CCN 440068
  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

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
Varicose vein removal1-10
Leg revascularization (restoring blood flow)15
Removal of tissue19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD018033TNMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Diagnostics, LLC CurrentSince Jan 25, 2023 Accepting new patients
University Diagnostics, LLC CurrentSince Mar 1, 2023 Accepting new patients
University Diagnostics, LLC CurrentSince Jan 31, 2023 Accepting new patients
University Health System Inc CurrentSince Aug 1, 2014 Accepting new patients
University Health System, Inc Vascular Surgery CurrentSince Aug 1, 2014 Accepting new patients
University Health System, Inc Current Accepting new patients
University Vascular Surgeons, PLLC Vascular Surgery PastSince Sep 27, 2004 Accepting new patients
University Health System, Inc. Past Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

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

1924 Alcoa Hwy
#U11
Knoxville, TN 37920
Phone (865) 305-9230

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

1940 Alcoa Hwy
Ste 120
Knoxville, TN 37920
Phone (865) 305-8040

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 9

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 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1396769717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "U11",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "865-544-9295",
            "fax_number": "865-544-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "address_2": "SUITE 120 HEART LUNG VASCULAR INSTIUTE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "865-544-8040",
            "fax_number": "865-544-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "MICHAEL",
        "middle_name": "BENTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "MD018033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3027402",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.