Active NPI
Ellen F Liuzza, MD
- Internal Medicine Physician
- Oak Ridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 41358
- Practice address
- 100 Vermont Ave
Oak Ridge, TN 37830-6471 - Phone
- (865) 482-1777
- Fax
- (865) 482-1030
- NPI assigned
- Jul 18, 2005
- Last updated
- Oct 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 41358 | KY | Primary |
Addresses
Primary practice location
100 Vermont Ave
Oak Ridge, TN 37830-6471
Mailing address
100 Vermont Ave
Oak Ridge, TN 37830-6471
Phone (865) 482-1777
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50024216 | Other | KY | PASSPORT |
| Q017377 | Medicaid | TN | |
| 000000613609 | Other | KY | ANTHEM |
| P00754793 | Other | KY | RAILROAD MEDICARE |
| 3718940000 | Other | KY | PASSPORT ADVANTAGE |
| 7100083480 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tulane University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Vermont Ave
Oak Ridge, TN 37830-6471
Phone (865) 482-1777
111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554
6600 Nightingale LN
Knoxville, TN 37909-2754
Phone (865) 632-5885
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41358 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Past | Accepting new patients | |
| Abercrombie Radiological Consultants Inc | Past | Accepting new patients |
Locations
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
3403 Tazewell Pike
Ste 101
Knoxville, TN 37918
Phone (865) 687-2303
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
100 Vermont Ave
Oak Ridge, TN 37830
Phone (865) 482-1777
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
Internal Medicine
-
dba Cool Springs Internal Medicine and Pediatrics
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
dba Seymour Medical Center
- Family Medicine Physician
- Seymour, TN
- NPI 1518357292
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1942207154
-
dba CBC Group Consulting in Blood Disorders & Cancer
- Hematology & Oncology Physician
- Louisville, KY
- NPI 1487984514
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Ridge, TN
- NPI 1700870672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1437158920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 VERMONT AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306471",
"telephone_number": "865-482-1777",
"fax_number": "865-482-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 VERMONT AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306471",
"telephone_number": "865-482-1777",
"fax_number": "865-482-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIUZZA",
"first_name": "ELLEN",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "41358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50024216",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q017377",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000613609",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00754793",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "3718940000",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100083480",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.