Individual provider Active NPI

Anwar Dean Mire, MD

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1508868969
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD16224 Issued in TN
Practice address
200 Blount Ave
Suite 401
Knoxville, TN 37920-1606
Phone
(865) 549-4444
Fax
(865) 549-4449
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD16224 TN Primary

Addresses

Primary practice location

200 Blount Ave
Suite 401
Knoxville, TN 37920-1606

Mailing address

200 Blount Ave
Suite 401
Knoxville, TN 37920-1606
Phone (865) 549-4444

Other identifiers 1

IdentifierTypeStateIssuer
3020243MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address a.dean.mire.1@3525.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
60.79 of 100Reported as group
Quality
12.33
Promoting interoperability
100
Improvement activities
20
Cost
81.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16224TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Health Care, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: a.dean.mire.1@3525.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1508868969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BLOUNT AVE",
            "address_2": "SUITE 401",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201606",
            "telephone_number": "865-549-4444",
            "fax_number": "865-549-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BLOUNT AVE",
            "address_2": "SUITE 401",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201606",
            "telephone_number": "865-549-4444",
            "fax_number": "865-549-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRE",
        "first_name": "ANWAR",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD16224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3020243",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "a.dean.mire.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "200 Blount Ave",
            "address_2": "Suite 401",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379201606",
            "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 Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.