Individual provider Active NPI

Kevin Matthew Martinolich, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Knoxville, TN
National Provider Identifier
1659388197
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
31837 Issued in TN
Practice address
1928 Alcoa Hwy
Medical Building B, Suite 119
Knoxville, TN 37920-1502
Phone
(865) 305-8761
Fax
(865) 305-9869
NPI assigned
Aug 1, 2006
Last updated
Apr 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 31837 TN Primary

Addresses

Primary practice location

1928 Alcoa Hwy
Medical Building B, Suite 119
Knoxville, TN 37920-1502

Mailing address

1928 Alcoa Hwy
Medical Building B, Suite 119
Knoxville, TN 37920-1502
Phone (865) 305-8761

Other identifiers 1

IdentifierTypeStateIssuer
3843482MedicaidTN

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
I20040902000274 TN Practitioner - Sleep MedicinePractitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6305811290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Critical Care (Intensivists), Internal Medicine, Pulmonary Disease
Education
Albany Medical College of Union University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1928 Alcoa Hwy
Suite 303
Knoxville, TN 37920-1505
Phone (865) 305-8761

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31837TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Sleep Medicine CurrentSince Nov 1, 2010 Accepting new patients
University Health System Inc CurrentSince Nov 1, 2010 Accepting new patients
University Health System, Inc Current Accepting new patients
East Tennessee Pulmonary and Critical Care Physicians Past Accepting new patients

Locations

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1928 Alcoa Hwy
Ste 119
Knoxville, TN 37920
Phone (865) 305-8761

1928 Alcoa Hwy
Ste 303
Knoxville, TN 37920
Phone (865) 305-3840

1928 Alcoa Hwy
Ste B119
Knoxville, TN 37920
Phone (865) 544-8761

1940 Alcoa Hwy
#623
Knoxville, TN 37920

1940 Alcoa Hwy
Ste E210
Knoxville, TN 37920
Phone (865) 524-7471

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

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.

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1659388197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY",
            "address_2": "MEDICAL BUILDING B, SUITE 119",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201502",
            "telephone_number": "865-305-8761",
            "fax_number": "865-305-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY",
            "address_2": "MEDICAL BUILDING B, SUITE 119",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201502",
            "telephone_number": "865-305-8761",
            "fax_number": "865-305-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINOLICH",
        "first_name": "KEVIN",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "31837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3843482",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.