Nicholas Paul Klokochar, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME 27720 Issued in FL

Practice address

120 Fountainhead CT
Lenoir City, TN 37772-6919

Phone

(239) 777-3609

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1598768418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FOUNTAINHEAD CT",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377726919",
            "telephone_number": "239-777-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FOUNTAINHEAD CT",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377726919",
            "telephone_number": "239-777-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOKOCHAR",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME 27720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLORIDA",
            "identifier": "78445",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda G Kamel
• Ruth Kamrass, FNP-BC
• Emily White Kiehnle, OTR/L
• Carla Dawne King, LPN
• Rachel Klenzman, RDN
• Knoxville Heart Center PC
• Anna Margaret Krempasky
• Kami Alyse Krinsavage, CCMA
• Christopher Michael Kulisek, M.D.
• Daniel Dean Kyle, PHARMD

• Adult Medicine Physician in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Adult Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.