Individual provider Active NPI

Stefan Mathew Pienkowski, MD

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1619679032
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
72286 Issued in TN
Practice address
7417 Kingston Pike Ste 101
Knoxville, TN 37919-5616
Phone
(865) 584-4112
NPI assigned
Mar 20, 2023
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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 72286 TN Primary

Addresses

Primary practice location

7417 Kingston Pike Ste 101
Knoxville, TN 37919-5616

Mailing address

7417 Kingston Pike
Knoxville, TN 37919-5606
Phone (865) 584-4112

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
I20230612003314 TN Order and Referring Only - Family PracticePractitioner - Family Practice 5597122192

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1885 FM
2673 Unit 146
Canyon Lake, TX 78133

7417 Kingston Pike
Suite 101
Knoxville, TN 37919-5624

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergic Diseases Asthma & Immunology Clinic PC CurrentSince May 17, 2026 Accepting new patients

Locations

1406 Tusculum Blvd
Ste 2500
Greeneville, TN 37745
Phone (423) 638-9595

7417 Kingston Pike
Ste 101
Knoxville, TN 37919
Phone (865) 584-4112

Interoperability endpoints

  • Direct secure messaging: stefan.pienkowski@hca1.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1619679032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195606",
            "telephone_number": "865-584-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 KINGSTON PIKE STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195616",
            "telephone_number": "865-584-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIENKOWSKI",
        "first_name": "STEFAN",
        "middle_name": "MATHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "72286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.