Active NPI
Nalini Samavedy, MD
- Psychiatry Physician
- Maryville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 43568
- Practice address
- 210 Simmons St
Maryville, TN 37801-4750 - Phone
- (865) 970-9800
- Fax
- (865) 374-7129
- NPI assigned
- Jan 18, 2007
- Last updated
- Oct 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 50641020 | WI | |
| Psychiatry Physician | 2084P0800X | 43568 | TN | Primary |
Addresses
Primary practice location
210 Simmons St
Maryville, TN 37801-4750
Mailing address
1451 Dowell Springs Blvd
Knoxville, TN 37909-2441
Phone (865) 374-7123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34920300 | Medicaid | WI | |
| 1509802 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
203 Corporate PL
Alcoa, TN 37701-1940
Phone (865) 970-9800
9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 694-5700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50641020 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkwest Medical Center | Current | Accepting new patients | |
| Parkwest Medical Center | Current | Accepting new patients | |
| Parkwest Medical Center | Past | Accepting new patients | |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Locations
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1451 Dowell Springs Blvd
Knoxville, TN 37909
Phone (865) 374-7123
210 Simmons St
Maryville, TN 37801
Phone (865) 374-7100
Organizations & group practices 4
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.
-
dba Peninsula Div Parkwest MC
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
-
- Psychiatric Hospital Unit
- Knoxville, TN
- NPI 1851369243
-
dba Peninsula Outpatient Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Maryville, TN
- NPI 1699757609
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Peninsula Div Parkwest MC
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
-
dba Blount Memorial Hospital
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1629121447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 DOWELL SPRINGS BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092441",
"telephone_number": "865-374-7123",
"fax_number": "865-374-7129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SIMMONS ST",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378014750",
"telephone_number": "865-970-9800",
"fax_number": "865-374-7129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMAVEDY",
"first_name": "NALINI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "50641020",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "43568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34920300",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1509802",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.