Active NPI
Kevin Matthew Martinolich, MD
- Sleep Medicine (Internal Medicine) Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 31837
- 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, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3843482 | 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
- Sleep Medicine
- Education
- Albany Medical College of Union University, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31837 | TN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health System, Inc | Sleep Medicine | Current | Accepting new patients |
| University Health System Inc | Current | 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.
-
dba UT Internal Medicine Pellissippi
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
dba University Thoracic Surgeons
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
dba UTMCK Sleep Disorder Clinic
- Sleep Medicine (Internal Medicine) Physician
- Knoxville, TN
- NPI 1275736324
-
- Pulmonary Disease Physician
- Knoxville, TN
- NPI 1528098282
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sevierville, TN
- NPI 1528052578
-
dba Peninsula Div Parkwest MC
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
-
dba University of Tennessee Medical Center
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.