Daniel M Ibach, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

29724 Issued in TN

Practice address

9957 Sherrill Blvd
Knoxville, TN 37932-3366

Phone

(865) 693-2255

Fax

(865) 691-7888

NPI assigned

Jan 23, 2006

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 3

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

Specialty

Hematology/OncologyAlso: Hematology

Education

University of Tennessee, HSC, College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Tennessee Cancer Specialists PLLCGroup PAC ID 1658358171, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
• Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
• Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
• Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
• Cumberland Medical Center Hospital, Crossville, TN, CCN 440009
• University Health System, Inc Hospital, Knoxville, TN, CCN 440015

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.ibach@tncancer.direct.varian.com

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.

• Tennessee Cancer Specialists PLLC

  • Hematology & Oncology Physician
  • Knoxville, TN
  • NPI 1841228871
  Medicare reassignment Care Compare group NPD
• Thompson Oncology Group

  • Hematology & Oncology Physician
  • Knoxville, TN
  • NPI 1619975737
  Medicare reassignment NPD
• Tennessee Cancer Specialist PLLC

  • Hematology & Oncology Physician
  • Greeneville, TN
  • NPI 1871301358
  NPD
• Tennessee Cancer Specialists PLLC

  • Hematology & Oncology Physician
  • Powell, TN
  • NPI 1841844099
  NPD
• Tennessee Cancer Specialists PLLC

  • Hematology & Oncology Physician
  • Morristown, TN
  • NPI 1275681421
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Comprehensive Home Healthcare Services LLC

  • Home Health Agency
  • Knoxville, TN
  • NPI 1710935408
  Care Compare affiliation
• Cumberland Medical Center, Inc.

  • General Acute Care Hospital
  • Crossville, TN
  • NPI 1871596403
  Care Compare affiliation
• Fort Loudoun Medical Center

  • General Acute Care Hospital
  • Lenoir City, TN
  • NPI 1609860659
  Care Compare affiliation
• Fort Sanders Regional Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1942294814
  Care Compare affiliation
• Parkwest Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  Care Compare affiliation
• University Health System, Inc.

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1538164090
  Care Compare affiliation

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1619947876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10988",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379390988",
            "telephone_number": "865-862-0998",
            "fax_number": "865-544-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9957 SHERRILL BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323366",
            "telephone_number": "865-693-2255",
            "fax_number": "865-691-7888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2607 Kingston Pike Ste 100",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379193343",
            "country_code": "US",
            "telephone_number": "986-693-2255",
            "fax_number": "865-691-7888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7650 Dannaher Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378494052",
            "country_code": "US",
            "telephone_number": "865-637-9330",
            "fax_number": "865-512-6748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBACH",
        "first_name": "DANIEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "29724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6055128",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01572568",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q011395",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Icp Tennessee, LLC
• Enoch Colvin Idol
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• Hematology & Oncology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Hematology & Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.
• 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.