Individual provider Active NPI

Walter M Zibas, MD

  • Pulmonary Disease Physician
  • Knoxville, TN
National Provider Identifier
1437185915
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
27781 Issued in TN
Practice address
6473 Kingston Pike
Knoxville, TN 75320-2333
Phone
(865) 588-8831
Fax
(865) 588-8841
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27781 TN
Pulmonary Disease Physician 207RP1001X 27781 TN Primary

Addresses

Primary practice location

6473 Kingston Pike
Knoxville, TN 75320-2333

Mailing address

PO Box 94670
Oklahoma City, OK 73143-4670
Phone (405) 682-3303

Other practice location 1

10904 Kingston Pike Ste 102
Knoxville, TN 37934-2952
Phone (865) 392-1540

Other practice location 2

2240 Sutherland Ave Ste 103
Knoxville, TN 37919-2333
Phone (865) 588-8831

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
I20040504001530 TN Practitioner - Internal Medicine 5597753822

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
East Tennessee State University Quillen College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2240 Sutherland Ave
Suite 103
Knoxville, TN 37919-2333

7725 W Reno Ave
Suite 150
Oklahoma City, OK 73127-9712

PO Box
Suite 94670
Oklahoma City, OK 73143

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22781TNMDFamily Nurse Practitioner
27781TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Statcare Outpatient, LLC Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
Statcare Inpatient LLC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Fort Sanders Regional Medical Center Past Accepting new patients
Rehabilitation Hospital of Knox County, LLC Past Accepting new patients

Locations

1901 Clinch Ave
#4N
Knoxville, TN 37916

10904 Kingston Pike
Ste 102
Knoxville, TN 37934
Phone (865) 392-1540

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

6473 Kingston Pike
Knoxville, TN 37919
Phone (865) 909-0090

501 20th St
Ste 303
Knoxville, TN 37916
Phone (865) 331-1375

2240 Sutherland Ave
Ste 103
Knoxville, TN 37919
Phone (865) 934-6100

6473 Kingston Pike
Ste 6473
Knoxville, TN 37919
Phone (865) 269-6915

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/

Organizations & group practices 4

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 6

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1437185915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94670",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731434670",
            "telephone_number": "405-682-3303",
            "fax_number": "405-384-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6473 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "753202333",
            "telephone_number": "865-588-8831",
            "fax_number": "865-588-8841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10904 Kingston Pike Ste 102",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379342952",
            "country_code": "US",
            "telephone_number": "865-392-1540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 Sutherland Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379192333",
            "country_code": "US",
            "telephone_number": "865-588-8831",
            "fax_number": "868-588-8841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIBAS",
        "first_name": "WALTER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "27781",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "27781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.