Active NPI
Charles Schroeder, MD
- Obstetrics & Gynecology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 28382
- Practice address
- 9330 Park West Blvd
Ste 502
Knoxville, TN 37923 - Phone
- (865) 531-3303
- Fax
- (865) 531-1272
- NPI assigned
- Jul 21, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 28382 | TN | Primary |
Addresses
Primary practice location
9330 Park West Blvd
Ste 502
Knoxville, TN 37923
Mailing address
9330 Park West Blvd
Ste 502
Knoxville, TN 37923
Phone (865) 531-3303
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4063853 | Other | BLUE CARE - TNCARE | |
| 5504519 | Other | AETNA | |
| 3720237 | Other | GRP MEDICARE | |
| 3804619 | Other | SC | MEDICAID CLAIMS RECIEPT |
| 4063853 | Other | BCBS | |
| 3804619 | Medicaid | TN | |
| 3720237 | Other | SC | GRP MEDICAID CLAIMS RECIE |
| 3720237 | Other | GRP MEDICAID | |
| TN0101 | Other | JOHN DEERE |
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
- Obstetrics/Gynecology
- Education
- University of Alabama School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9330 Park W Blvd
Suite 502
Knoxville, TN 37923-4313
Phone (865) 531-3303
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OBGYN Professionals of Etn PC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
9330 Park West Blvd
Ste 502
Knoxville, TN 37923
Phone (865) 531-3303
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Knoxville, TN
- NPI 1053597427
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Ridge, TN
- NPI 1700870672
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669471512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 PARK WEST BLVD",
"address_2": "STE 502",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37923",
"telephone_number": "865-531-3303",
"fax_number": "865-531-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 PARK WEST BLVD",
"address_2": "STE 502",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37923",
"telephone_number": "865-531-3303",
"fax_number": "865-531-1272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "28382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE - TNCARE",
"identifier": "4063853",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5504519",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP MEDICARE",
"identifier": "3720237",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID CLAIMS RECIEPT",
"identifier": "3804619",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4063853",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3804619",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP MEDICAID CLAIMS RECIE",
"identifier": "3720237",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP MEDICAID",
"identifier": "3720237",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "TN0101",
"state": null
}
],
"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 Jul 13, 2026; 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.