Active NPI
Peter T Petruzzi Jr., MD
- Diagnostic Radiology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 38697
- Practice address
- 1924 Alcoa Hwy
Knoxville, TN 37920-1511 - Phone
- (865) 544-9661
- Fax
- (865) 544-6481
- NPI assigned
- Mar 27, 2006
- Last updated
- Aug 21, 2017
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 38697 | TN | Primary |
Addresses
Primary practice location
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Mailing address
2240 Sutherland Ave Ste 107
Knoxville, TN 37919-2333
Phone (865) 584-7376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38967051 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of South Alabama College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9661
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.17 of 100
- Quality
- 89.39
- Improvement activities
- 40
- Cost
- 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38697 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Community Open MRI | Current | Accepting new patients | |
| University Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Leconte Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Association of University Radiologists, PC | Diagnostic Radiology | Current | Accepting new patients |
| Association of University Radiologists, PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Imaging Associates of Oak Ridge PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864
11440 Parkside Dr
Ste 204
Knoxville, TN 37934
Phone (865) 675-1300
1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000
1924 Alcoa Hwy
#U107
Knoxville, TN 37920
Phone (865) 305-8685
2240 Sutherland Ave
Ste 107
Knoxville, TN 37919
Phone 8655847376 ext. 241
5401 Kingston Pike
Ste 540
Knoxville, TN 37919
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671
127 Health Care Dr
Pennington Gap, VA 24277
Phone (276) 299-5000
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1619088697
VA
-
- Diagnostic Radiology Physician
- Maryville, TN
- NPI 1447210109
-
dba University Radiology
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1851695407
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Knoxville, TN
- NPI 1205086790
-
dba University Diagnostics - Northshore Towne Center
- Radiology Clinic/Center
- Knoxville, TN
- NPI 1205588308
Diagnostic Radiology
-
dba University Diagnostics - Hall of Fame
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1417698275
-
dba University Diagnostics-Halls
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1427785047
-
- Diagnostic Radiology Physician
- Oak Ridge, TN
- NPI 1245290857
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Peninsula Div Parkwest MC
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
-
dba Blount Memorial Hospital
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
-
dba University of Tennessee Medical Center
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503273600000",
"number": "1508826140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 SUTHERLAND AVE STE 107",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379192333",
"telephone_number": "865-584-7376",
"fax_number": "865-584-8938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 ALCOA HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201511",
"telephone_number": "865-544-9661",
"fax_number": "865-544-6481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRUZZI",
"first_name": "PETER",
"middle_name": "T",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2017-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "38697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38967051",
"state": "TN"
}
],
"endpoints": [],
"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 Aug 21, 2017; 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.