Individual provider Active NPI

Robert A Pollack, MD

  • Gastroenterology Physician
  • Knoxville, TN
National Provider Identifier
1497725089
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD34023 Issued in TN
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

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q019270MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110929000476 TN Practitioner - GastroenterologyPractitioner - Internal Medicine 8426236993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of South Florida College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy128
Upper gastrointestinal (GI) endoscopy for acid reflux91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Covenant Medical Group, Inc CurrentSince Mar 1, 2025 Accepting new patients
Knoxville Gastrointestinal Specialists, PC Gastroenterology CurrentSince Jan 1, 2001 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.