Individual provider Active NPI

Matthew Alan Hicks, D.O.

  • Pulmonary Disease Physician
  • Knoxville, TN
National Provider Identifier
1508307646
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
5215 Issued in TN
Practice address
1940 Alcoa Hwy Ste E210
Knoxville, TN 37920-2264
Phone
(865) 525-7471
NPI assigned
Mar 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5215 TN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 5215 TN
Pulmonary Disease Physician 207RP1001X 5215 TN Primary

Addresses

Primary practice location

1940 Alcoa Hwy Ste E210
Knoxville, TN 37920-2264

Mailing address

1940 Alcoa Hwy Ste E210
Knoxville, TN 37920-2264
Phone (865) 525-7471

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
I20230818001989 TN Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3173985397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1130 Middle Creek Rd
Suite 270
Sevierville, TN 37862-2941
Phone (865) 305-8761

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1928 Alcoa Hwy
Suite B100
Knoxville, TN 37920-1506
Phone (865) 305-6333

1928 Alcoa Hwy 102
Knoxville, TN 37920-1506
Phone (865) 305-6640

1928 Alcoa Hwy S 102
Knoxville, TN 37920-1506
Phone (865) 544-6740

1940 Alcoa Hwy
Suite E210
Knoxville, TN 37920-2264
Phone (865) 305-6333

1975 Town Ctr Blvd
Suite 203
Knoxville, TN 37922-6669
Phone (865) 909-4030

6232 W Andrew Johnson Hwy
Suite 2300
Talbott, TN 37877-8604
Phone (865) 305-5940

6242 W Andrew Johnson Hwy
Talbott, TN 37877-8604
Phone (423) 690-3250

7326 Maynardville Pike
Knoxville, TN 37938-3717

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5215TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Aug 15, 2024 Accepting new patients
University Health System, Inc Internal Medicine Current Accepting new patients
University Health System Inc CurrentSince Aug 15, 2024 Accepting new patients
University Health System, Inc Pulmonary Disease Current Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

1940 Alcoa Hwy
Ste 210
Knoxville, TN 37920
Phone (423) 794-9400

1940 Alcoa Hwy
Ste E210
Knoxville, TN 37920
Phone (865) 524-7471

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

Interoperability endpoints

  • Direct secure messaging: mhicks819227@direct.hfhs.org

Organizations & group practices 5

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": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1508307646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY STE E210",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202264",
            "telephone_number": "865-525-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY STE E210",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202264",
            "telephone_number": "865-525-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-08",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "5215",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "5215",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "5215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.