Andre Matthew Agassi
Individual provider Active NPI Diagnostic Radiology Physician · Knoxville, TN
NPI 1760019277 · NPPES record last updated Jun 15, 2026
Key facts
- NPI
- 1760019277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 76627 (TN)
- Practice address
- 4820 Old Kingston Pike
Knoxville, TN 37919-6424 - Phone
- (865) 558-9862
- Fax
- (865) 584-3478
- NPI assigned
- Mar 25, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Duke University School of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1112 E Weisgarber Rd
Suite 102
Knoxville, TN 37909-2647
4820 Old Kingston Pike
Knoxville, TN 37919-5109
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260610003071 | TN | Practitioner - Diagnostic Radiology | 2668895293 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abercrombie Radiological Consultants Inc | Diagnostic Radiology | Current |
Accepting new patients |
Locations
4820 Old Kingston Pike
Knoxville, TN 37919
Phone (865) 205-2770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 76627 | TN | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | NC |
Addresses
Primary practice location
4820 Old Kingston Pike
Knoxville, TN 37919-6424
Mailing address
4820 Old Kingston Pike
Knoxville, TN 37919-6424
Phone (865) 558-9862
Other practice location 1
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
Other providers in Knoxville, TN
- Afc Physicians of Tennessee, PC
- Affect Provider Group, P.S.C.
- After Hours Pediatrics of Tennessee PC
- Agape Home Services Inc
- Agape, Incorporated
- Ronda Agee
- Terri S Agh
- Essam M Aghel
- Agilitas USA Inc
- Agilitas USA, Inc
All providers in Knoxville, TN · Diagnostic Radiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.