Individual provider Active NPI

Scott A Rosenbloom, M.D.

  • Diagnostic Radiology Physician
  • Knoxville, TN
National Provider Identifier
1609935873
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
21602 Issued in TN
Practice address
1112 E Weisgarber Rd Ste 102
Knoxville, TN 37909-2647
Phone
(865) 558-9862
Fax
(865) 584-3478
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21602 TN
Diagnostic Radiology Physician 2085R0202X 21602 TN Primary

Addresses

Primary practice location

1112 E Weisgarber Rd Ste 102
Knoxville, TN 37909-2647

Mailing address

1112 E Weisgarber Rd Ste 102
Knoxville, TN 37909-2647
Phone (865) 558-9862

Other identifiers 1

IdentifierTypeStateIssuer
3061484MedicaidTN

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
I20111205000099 TN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0446425334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Quality
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Oct 1, 2016 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 1, 2016 Accepting new patients
Abercrombie Radiological Consultants Inc Diagnostic Radiology CurrentSince Aug 1, 2016 Accepting new patients

Locations

1112 E Weisgarber Rd
Ste 102
Knoxville, TN 37909
Phone (865) 588-1397

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

7211 Wellington Dr
Ste 201
Knoxville, TN 37919
Phone (865) 584-5762

1112 E Weisgarber Rd
Ste 201
Knoxville, TN 37909

1112 E Weisgarber Rd
Knoxville, TN 37909
Phone (865) 588-1397

Organizations & group practices 3

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1609935873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E WEISGARBER RD STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092647",
            "telephone_number": "865-558-9862",
            "fax_number": "865-584-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E WEISGARBER RD STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092647",
            "telephone_number": "865-558-9862",
            "fax_number": "865-584-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLOOM",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "21602",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "21602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3061484",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.