Individual provider Active NPI

Kenneth F Cofer, MD

  • Gynecologic Oncology Physician
  • Knoxville, TN
National Provider Identifier
1497759773
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
MD28234 Issued in TN
Practice address
1915 White Ave
Knoxville, TN 37916-2300
Phone
(865) 331-1720
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X MD28234 TN Primary

Addresses

Primary practice location

1915 White Ave
Knoxville, TN 37916-2300

Mailing address

1915 White Ave
Knoxville, TN 37916-2300
Phone (865) 331-1720

Other identifiers 3

IdentifierTypeStateIssuer
3372427MedicaidTN
4243363OtherTNBCBST
1506926MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cofer.kenneth@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
I20040709000532 TN Practitioner - Obstetrics/Gynecology 3870570369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thompson Oncology GroupGroup PAC ID 0941246771, 65 clinicians

Practice addresses (Care Compare)

9711 Sherrill Blvd
Knoxville, TN 37932-3330
Phone (865) 374-3901

Hospital & facility affiliations

  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
  • Leconte Medical Center Hospital, Sevierville, TN, CCN 440081
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28234TNMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Oncology Group CurrentSince Sep 17, 2012 Accepting new patients
University of Tennessee CurrentSince Feb 1, 2007 Accepting new patients
University of Tennessee CurrentSince Feb 1, 2007 Accepting new patients
Health Ventures, Inc Past Accepting new patients

Locations

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350

Knoxville, TN 37995

Dept 888078
Knoxville, TN 37995

1928 Alcoa Hwy
Ste 303
Knoxville, TN 37920
Phone (865) 305-3840

1928 Alcoa Hwy
Ste 127
Knoxville, TN 37920
Phone (865) 305-8368

9711 Sherrill Blvd
Knoxville, TN 37932
Phone (865) 373-5000

Interoperability endpoints

  • Direct secure messaging: cofer.kenneth@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 3

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1497759773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 WHITE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162300",
            "telephone_number": "865-331-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 WHITE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162300",
            "telephone_number": "865-331-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFER",
        "first_name": "KENNETH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TN",
            "license": "MD28234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3372427",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4243363",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506926",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cofer.kenneth@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1915 White Ave",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379162300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.