Individual provider Active NPI

John Darryl Sanabria, MD

  • Family Medicine Physician
  • Loudon, TN
National Provider Identifier
1477594521
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28120 Issued in TN
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3071947OtherTNBCBS

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
I20140718001270 TN Practitioner - Family Practice 8921224452 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
John D. Sanabria, MD PC Family Medicine CurrentSince May 22, 2014 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.

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

Verify at the official NPI Registry.