Individual provider Active NPI

Marek M Pienkowski, M.D., PH.D.

  • Allergy Physician
  • Knoxville, TN
National Provider Identifier
1659340610
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MD15320 Issued in TN
Practice address
7417 Kingston Pike
Suite 101
Knoxville, TN 37919-5606
Phone
(865) 584-4112
Fax
(865) 588-5140
NPI assigned
Mar 14, 2006
Last updated
Nov 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X MD15320 TN Primary

Addresses

Primary practice location

7417 Kingston Pike
Suite 101
Knoxville, TN 37919-5606

Mailing address

7417 Kingston Pike
Suite 101
Knoxville, TN 37919-5606
Phone (865) 584-4112

Other identifiers 13

IdentifierTypeStateIssuer
0030601OtherTNBCBSTN
0166234OtherTNBCBSTN
2004413OtherTNBCBSTN
3006456MedicaidTN
3006457MedicaidTN
0202905OtherTNBCBSTN
3006450MedicaidTN
0056936OtherTNBCBSTN
067080OtherVABCBSVA
064686OtherVABCBSVA
30065459MedicaidTN
3006458MedicaidTN
059803OtherVABCBSVA

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
I20111207000741 TN Practitioner - Allergy/Immunology 9234132523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergic Diseases Asthma and Immunology Clinic PCGroup PAC ID 7416950704, 5 clinicians

Practice addresses (Care Compare)

1406 Tusculum Blvd
Suite 2500
Greeneville, TN 37745-4341
Phone (423) 638-9595

2012 Brookside Dr
Suite 11
Kingsport, TN 37660-4645
Phone (423) 378-3131

321 Midway Medical Park
Suite 3
Bristol, TN 37620-1652
Phone (423) 968-3440

403 Princeton Rd
Suite 4
Johnson City, TN 37601-2040
Phone (423) 928-0113

7417 Kingston Pike
Suite 101
Knoxville, TN 37919-5616
Phone (865) 584-4112

Merit-based Incentive Payment System (MIPS)

Final score
85.84 of 100Reported as individual
Quality
76.98
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergic Diseases Asthma & Immunology Clinic PC Allergy CurrentSince Oct 1, 1997 Accepting new patients

Locations

245 Midway Medical Park
Ste 204
Bristol, TN 37620
Phone (423) 968-3440

321 Midway Medical Park
Ste 3
Bristol, TN 37620
Phone (423) 968-3440

1406 Tusculum Blvd
#1697
Greeneville, TN 37745

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

403 Princeton Rd
Ste 4
Johnson City, TN 37601
Phone (423) 928-0113

2012 Brookside Dr
Ste 11
Kingsport, TN 37660
Phone (423) 378-3131

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

Interoperability endpoints

  • Direct secure messaging: marek.pienkowski.1@22384.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1659340610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 KINGSTON PIKE",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195606",
            "telephone_number": "865-584-4112",
            "fax_number": "865-588-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 KINGSTON PIKE",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195606",
            "telephone_number": "865-584-4112",
            "fax_number": "865-588-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIENKOWSKI",
        "first_name": "MAREK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TN",
            "license": "MD15320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "0030601",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "0166234",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "2004413",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3006456",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3006457",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "0202905",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3006450",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "0056936",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSVA",
            "identifier": "067080",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSVA",
            "identifier": "064686",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30065459",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3006458",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSVA",
            "identifier": "059803",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.