Individual provider Active NPI

Ryan Baird Pickens, MD

  • Urology Physician
  • Knoxville, TN
National Provider Identifier
1760639850
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
47346 Issued in TN
Practice address
1928 Alcoa Hwy
Mob B Suite 222
Knoxville, TN 37920-1502
Phone
(865) 305-9254
Fax
(865) 305-6133
NPI assigned
Aug 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 47346 TN Primary

Addresses

Primary practice location

1928 Alcoa Hwy
Mob B Suite 222
Knoxville, TN 37920-1502

Mailing address

1928 Alcoa Hwy
Mob B Suite 222
Knoxville, TN 37920-1502
Phone (865) 305-9254

Other identifiers 2

IdentifierTypeStateIssuer
4350680OtherTNBCBS OF TN
1524084MedicaidTN

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
I20110620000037 TN Practitioner - Urology 4284811415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Louisville School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Urology PCGroup PAC ID 4486677978, 15 clinicians

Practice addresses (Care Compare)

1928 Alcoa Hwy
Suite B222
Knoxville, TN 37920-1504
Phone (865) 305-9254

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47346TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Urology PC Urology CurrentSince Apr 4, 2013 Accepting new patients
University Health System, Inc. Past Accepting new patients
Vanderbilt University Past Accepting new patients

Locations

1928 Alcoa Hwy
Ste B222
Knoxville, TN 37920
Phone (865) 544-9254

1928 Alcoa Hwy
Ste 222
Knoxville, TN 37920
Phone (865) 687-3831

Organizations & group practices 3

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 3

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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1760639850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY",
            "address_2": "MOB B SUITE 222",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201502",
            "telephone_number": "865-305-9254",
            "fax_number": "865-305-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY",
            "address_2": "MOB B SUITE 222",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201502",
            "telephone_number": "865-305-9254",
            "fax_number": "865-305-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "RYAN",
        "middle_name": "BAIRD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "47346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4350680",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524084",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.