Aleksandr Vinogradov, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

917 Issued in TN

Practice address

121 Newport Towne Ctr
Newport, TN 37821-7391

Phone

(423) 532-8621

NPI assigned

Apr 16, 2019

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tennova Healthcare-Jefferson Memorial Hospital Hospital, Jefferson City, TN, CCN 440056

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aleksandr.vinogradov.1@3525.direct.athenahealth.com

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.

• Healthstar Physicians, P.C.

  • Family Medicine Physician
  • Morristown, TN
  • NPI 1184610248
  Medicare reassignment Care Compare group NPD
• Healthstar Physicians PC

  • Pain Medicine (Anesthesiology) Physician
  • Morristown, TN
  • NPI 1841187648
  NPD
• East Tennessee Primary Care Associates

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1134271745
  NPD (past)
• Healthstar Physicians PC

  • Foot & Ankle Surgery Podiatrist
  • Dandridge, TN
  • NPI 1366302663
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jefferson County Hma LLC

  • General Acute Care Hospital
  • Jefferson City, TN
  • NPI 1972585347
  Care Compare affiliation

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662854400000",
    "number": "1457914350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NEWPORT TOWNE CTR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378217391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NEWPORT TOWNE CTR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378217391",
            "telephone_number": "423-532-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINOGRADOV",
        "first_name": "ALEKSANDR",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Neal Troutman, DDS
• Mallory Keck Tucker, PHARMD
• Elizabeth Ann Uhls, BSW
• Lindsay Tyler Vaughn, RN
• Jarrod Vick, PHARM.D.
• Vip Physical Therapy, LLC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• William Clark Walker, D.C.

• Foot & Ankle Surgery Podiatrist in Newport, TN
• Providers in Newport, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2022; 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.