Active NPI
Daniel F Niendorff, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Oak Ridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 49379
- Practice address
- 990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976 - Phone
- (865) 835-1000
- NPI assigned
- Oct 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 49379 | TN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 49379 | TN | Primary |
Addresses
Primary practice location
990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
400 N State Of Franklin Rd Rm 2746
Johnson City, TN 37604-6035
Phone (423) 431-2727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q000561 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Internal Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Statcare Inpatient LLC | Internal Medicine | Current | Accepting new patients |
| Wellmont Health System | Current | Accepting new patients | |
| Hospital Medicine Services of Tennessee PC | Internal Medicine | Current | Accepting new patients |
| Medical Resources NW PC | Critical Care Medicine | Past | Accepting new patients |
Locations
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
8045 Roane Medical Center Dr
Harriman, TN 37748
Phone (865) 316-1000
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
400 N State of Franklin Rd
Rm 2746
Johnson City, TN 37604
Phone (423) 431-2727
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111
990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
Interoperability endpoints
- dniendorff420790@balladhealth.medalliesdirect.net
Organizations & group practices 7
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.
-
dba First Assist Urgent Care
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Hospitalist Physician
- Lawrenceburg, IN
- NPI 1528433802
Internal Medicine, TN
-
dba ActionEcho
- Critical Care Medicine (Internal Medicine) Physician
- Kennewick, WA
- NPI 1336268333
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Johnson City, TN
- NPI 1356472880
-
dba Ballad Health Medical Associates
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1477086981
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1700968732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 OAK RIDGE TPKE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306976",
"telephone_number": "865-835-1000"
}
],
"practiceLocations": [
{
"address_1": "400 N State Of Franklin Rd Rm 2746",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046035",
"country_code": "US",
"telephone_number": "423-431-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIENDORFF",
"first_name": "DANIEL",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "49379",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TN",
"license": "49379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q000561",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
- Paige Denise Newsom, LCSW
- Amy Beth Newsome, BS
- Thuy Nguyen
- NHC Healthcare Oak Ridge (Oak Ridge Health Care Center Pharmacy)
- NHC Healthcare Oak Ridge LLC (NHC HealthCare, Oak Ridge)
- Amy Jo Noble, APRN
- John Michael Norman Jr., FNP
- Northland Hearing Center, Inc. (Audibel Hearing Aid Center)
- Northland Hearing Centers, Inc.
- Brenda Norton, LPTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.