Individual provider Active NPI

Stephen Alexander Wheless, M.D.

  • Otolaryngology Physician
  • Knoxville, TN
National Provider Identifier
1649579996
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD0000053384 Issued in TN
Practice address
501 20TH St
Suite 204
Knoxville, TN 37916-1809
Phone
(865) 546-5477
NPI assigned
Mar 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD0000053384 TN Primary

Addresses

Primary practice location

501 20TH St
Suite 204
Knoxville, TN 37916-1809

Mailing address

501 20TH St
Suite 204
Knoxville, TN 37916-1809
Phone (865) 546-5477

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
I20160908002793 TN Practitioner - Otolaryngology 5092016220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of North Carolina at Chapel Hill School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Ear, Nose and Throat Consultants, PCGroup PAC ID 5092763532, 25 clinicians

Practice addresses (Care Compare)

501 20TH St
Suite 204
Knoxville, TN 37916-1881
Phone (865) 546-5477

576 Fort Loudon Medical Ctr Dr
Suite 207
Lenoir City, TN 37772-5676
Phone (865) 271-6534

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000053384TNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Ear, Nose & Throat Consultants, PC Otolaryngology CurrentSince Sep 1, 2016 Accepting new patients
Otolaryngology Center of East Tennessee PC Otolaryngology Past Accepting new patients

Locations

9430 Park West Blvd
Ste 330
Knoxville, TN 37923
Phone (865) 271-6534

Dept 888604
Knoxville, TN 37995

576 Fort Loudoun Med Center Dr
Ste 207
Lenoir City, TN 37772
Phone (865) 271-6534

Organizations & group practices 2

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 3

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": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1649579996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 20TH ST",
            "address_2": "SUITE 204",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161809",
            "telephone_number": "865-546-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 20TH ST",
            "address_2": "SUITE 204",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161809",
            "telephone_number": "865-546-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELESS",
        "first_name": "STEPHEN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "MD0000053384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.