Active NPI
Robert A Pollack, MD
- Gastroenterology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD34023
- Practice address
- 1819 W Clinch Ave
Suite 212
Knoxville, TN 37916-2434 - Phone
- (865) 523-6418
- Fax
- (865) 374-1079
- NPI assigned
- Jan 25, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD34023 | TN | Primary |
Addresses
Primary practice location
1819 W Clinch Ave
Suite 212
Knoxville, TN 37916-2434
Mailing address
1819 W Clinch Ave
Suite 212
Knoxville, TN 37916-2434
Phone (865) 523-6418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q019270 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pollack.robert@covenanthealth.cernerdirect.com |
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
- Gastroenterology
- Education
- University of South Florida College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1819 Clinch Ave
Suite 110
Knoxville, TN 37916-2435
Phone (865) 632-5900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.9 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 82.99
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 128 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 91 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc. | Current | Accepting new patients | |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Knoxville Gastrointestinal Specialists, PC | Gastroenterology | Current | Accepting new patients |
| Suncoast Medical Clinic LLC | Past | Accepting new patients |
Locations
1819 Clinch Ave
Ste 110
Knoxville, TN 37916
Phone (865) 331-9075
Dept 888179
Knoxville, TN 37995
1819 Clinch Ave
Ste 212
Knoxville, TN 37916
Phone (865) 523-6418
501 20th St
Ste 503
Knoxville, TN 37916
Phone (865) 331-4321
1400 Centerpoint Blvd
Ste 158
Knoxville, TN 37932
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
11169 Chapman Hwy
#3
Seymour, TN 37865
Phone (865) 523-6418
Interoperability endpoints
- pollack.robert@covenanthealth.cernerdirect.com
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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Gastroenterology Physician
- Knoxville, TN
- NPI 1194910919
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1760664882
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
-
- General Acute Care Hospital
- Sevierville, TN
- NPI 1528052578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1497725089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 W CLINCH AVE",
"address_2": "SUITE 212",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162434",
"telephone_number": "865-523-6418",
"fax_number": "865-374-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 W CLINCH AVE",
"address_2": "SUITE 212",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162434",
"telephone_number": "865-523-6418",
"fax_number": "865-374-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "MD34023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q019270",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pollack.robert@covenanthealth.cernerdirect.com",
"affiliation": "N",
"address_1": "1819 W Clinch Ave",
"address_2": "Suite 212",
"city": "Knoxville",
"state": "TN",
"country_code": "US",
"postal_code": "379162434",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.