Individual provider Active NPI

Naresh R Mistry, MD

  • Cardiovascular Disease Physician
  • Lenoir City, TN
National Provider Identifier
1699763250
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD27232 Issued in TN
Practice address
689 Medical Park Dr Ste 301
Lenoir City, TN 37772-5798
Phone
(865) 986-8121
Fax
(865) 986-8124
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD27232 TN Primary

Addresses

Primary practice location

689 Medical Park Dr Ste 301
Lenoir City, TN 37772-5798

Mailing address

689 Medical Park Dr Ste 301
Lenoir City, TN 37772-5798
Phone (865) 986-8121

Other identifiers 1

IdentifierTypeStateIssuer
3095854MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mistry.nareshbhai@covenanthealth.cernerdirect.com

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
I20070417000208 TN Practitioner - Cardiovascular Disease (Cardiology) 1557466711 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554

576 Fort Loudon Medical Ctr Dr
Lenoir City, TN 37772-5676

689 Medical Park Dr
Suite 101
Lenoir City, TN 37772-5796
Phone (865) 986-8121

Hospital & facility affiliations

  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD27232TNMDCardiovascular Disease Physician
37232TNMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Medical Center CurrentSince Feb 2, 1996 Accepting new patients
Covenant Medical Group, Inc CurrentSince Sep 1, 2014 Accepting new patients
Covenant Medical Group, Inc. Cardiovascular Disease CurrentSince Sep 1, 2014 Accepting new patients
Parkwest Medical Center CurrentSince Feb 2, 1996 Accepting new patients
Fort Sanders Regional Medical Center CurrentSince Feb 17, 2018 Accepting new patients
Fort Loudoun Medical Center CurrentSince Mar 13, 2006 Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

Dept 888179
Knoxville, TN 37995

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

Dept 888001
Knoxville, TN 37995

689 Medical Park Dr
Ste 101
Lenoir City, TN 37772
Phone (865) 271-6580

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

689 Medical Park Dr
Ste 301
Lenoir City, TN 37772
Phone (865) 988-6330

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1699763250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 MEDICAL PARK DR STE 301",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725798",
            "telephone_number": "865-986-8121",
            "fax_number": "865-986-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 MEDICAL PARK DR STE 301",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725798",
            "telephone_number": "865-986-8121",
            "fax_number": "865-986-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "NARESH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD27232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3095854",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mistry.nareshbhai@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "689 Medical Park Dr",
            "address_2": "Suite 101",
            "city": "Lenoir City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377725642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.