Individual provider Active NPI

Muddassir Mehmood, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Knoxville, TN
National Provider Identifier
1619154358
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
56781 Issued in TN
Practice address
1940 Alcoa Hwy Ste E310
Knoxville, TN 37920-2267
Phone
(865) 544-2800
Fax
(865) 544-6812
NPI assigned
Jan 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 56781 TN
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 56781 TN Primary

Addresses

Primary practice location

1940 Alcoa Hwy Ste E310
Knoxville, TN 37920-2267

Mailing address

1940 Alcoa Hwy Ste E310
Knoxville, TN 37920-2267
Phone (865) 544-2800

Other identifiers 3

IdentifierTypeStateIssuer
NC2790MedicaidSC
1619154358MedicaidNC
3072571MedicaidOH

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
I20180619003379 TN Practitioner - NeurologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Advanced Heart Failure and Transplant Cardiology 6608991047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc Advanced Heart Failure and Transplant Cardiology CurrentSince Jan 1, 2020 Accepting new patients
Knoxville Cardiovascular Group PC Cardiovascular Disease Current Accepting new patients
University Health System Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 1, 2020 Accepting new patients
University Health System, Inc Internal Medicine Current Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1940 Alcoa Hwy
Ste 310
Knoxville, TN 37920
Phone (865) 305-9873

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

1940 Alcoa Hwy
Ste E310
Knoxville, TN 37920
Phone (865) 544-4280

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

Organizations & group practices 6

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": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1619154358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY STE E310",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202267",
            "telephone_number": "865-544-2800",
            "fax_number": "865-544-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY STE E310",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202267",
            "telephone_number": "865-544-2800",
            "fax_number": "865-544-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHMOOD",
        "first_name": "MUDDASSIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "56781",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "TN",
            "license": "56781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2790",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619154358",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072571",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.