Active NPI
John Darryl Sanabria, MD
- Family Medicine Physician
- Loudon, TN
National Provider Identifier
1477594521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28120
- Practice address
- 15000 Hwy 72 North
Loudon, TN 37774 - Phone
- (865) 458-1577
- Fax
- (865) 458-1596
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28120 | TN | Primary |
Addresses
Primary practice location
15000 Hwy 72 North
Loudon, TN 37774
Mailing address
PO Box 24175
Knoxville, TN 37933
Phone (865) 758-1577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3071947 | Other | TN | BCBS |
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
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
460 Medical Park Dr
Lenoir City, TN 37772-5782
Phone (865) 271-0038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John D. Sanabria, MD PC | Family Medicine | Current | Accepting new patients |
Locations
2461 University Commons Way
Knoxville, TN 37919
Phone (865) 673-6603
460 Medical Park Dr
Ste 103
Lenoir City, TN 37772
Phone (865) 271-0038
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lenoir City, TN
- NPI 1891110433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477594521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24175",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37933",
"telephone_number": "865-758-1577",
"fax_number": "865-458-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15000 HWY 72 NORTH",
"city": "LOUDON",
"state": "TN",
"postal_code": "37774",
"telephone_number": "865-458-1577",
"fax_number": "865-458-1596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANABRIA",
"first_name": "JOHN",
"middle_name": "DARRYL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "28120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3071947",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loudon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.