Individual provider Active NPI

Robert Douglas Shutt, M.D.

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1740388693
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000035077 Issued in TN
Practice address
4410 Valley View Dr
Knoxville, TN 37917-1304
Phone
(865) 523-5235
Fax
(865) 523-2003
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000035077 TN Primary

Addresses

Primary practice location

4410 Valley View Dr
Knoxville, TN 37917-1304

Mailing address

PO Box 440471
Nashville, TN 37244-0471
Phone (865) 523-5235

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
I20101007000266 TN Practitioner - Family Practice 4789876830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs Primary Care LLCGroup PAC ID 1153849856, 92 clinicians

Practice addresses (Care Compare)

7326 Maynardville Pike
Suite 400
Knoxville, TN 37938-3847
Phone (865) 925-9035

Hospital & facility affiliations

  • University of TN Medical Center Home Care Services Home health agency, Knoxville, TN, CCN 447230
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000035077TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Aug 31, 2022 Accepting new patients
University Health System, Inc Family Medicine Current Accepting new patients
Uhs Primary Care LLC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Uhs Primary Care LLC CurrentSince Jul 1, 2025 Accepting new patients
University Health System, Inc Family Medicine CurrentSince Aug 31, 2022 Accepting new patients
Uhs Primary Care LLC Current Accepting new patients
University Health System, Inc Current Accepting new patients
Uhs Primary Care LLC Family Medicine Past Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

4005 Fountain Valley Dr
Ste 350
Knoxville, TN 37918
Phone (865) 925-9020

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

1924 Alcoa Hwy
#56
Knoxville, TN 37920
Phone (865) 305-9081

7326 Maynardville Pike
Ste 400
Knoxville, TN 37938
Phone (865) 925-9035

4410 Valley View Dr
Knoxville, TN 37917
Phone (865) 523-5235

5779 Creekwood Park Blvd
Ste 220
Lenoir City, TN 37772
Phone (865) 988-6330

Organizations & group practices 9

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 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1740388693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440471",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440471",
            "telephone_number": "865-523-5235",
            "fax_number": "865-523-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 VALLEY VIEW DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171304",
            "telephone_number": "865-523-5235",
            "fax_number": "865-523-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTT",
        "first_name": "ROBERT",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000035077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.