Trevor J Ingeneri, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD43154 Issued in TN

Practice address

629 Delozier Way
Powell, TN 37849-4030

Phone

(865) 588-5121

Fax

(865) 588-5126

NPI assigned

Jan 2, 2008

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

Other identifiers 1

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

Specialty

Pathology

Education

University of Miami, LM Miller School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastrointestinal Associates PCGroup PAC ID 9739132705, 33 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.72 of 100Reported as group

Quality

91.46

Promoting interoperability

100

Improvement activities

40

Cost

77.6

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gastrointestinal Associates, PC

  • Gastroenterology Physician
  • Knoxville, TN
  • NPI 1780695999
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1427233055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59002",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379509002",
            "telephone_number": "865-588-5121",
            "fax_number": "865-588-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 DELOZIER WAY",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494030",
            "telephone_number": "865-588-5121",
            "fax_number": "865-588-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGENERI",
        "first_name": "TREVOR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "MD43154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008671",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Hurt
• Hutchspen LLC
• Fatima Ilyas, M.B;B.S
• Bita Imam, DO, PHD
• Independent Physical Therapy
• Ingles Markets Inc (Ingles Pharmacy #399)
• Osareme Anthony Irivbogbe, M.D
• Kristin Debord James, DO
• Bakary Jatta
• Charles Michael Jenkins, DPH

• Anatomic Pathology & Clinical Pathology Physician in Powell, TN
• Providers in Powell, TN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.