Individual provider Active NPI

Timothy James Leroy, MD

  • Urology Physician
  • Knoxville, TN
National Provider Identifier
1770754137
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD0000047250 Issued in TN
Practice address
9245 Park West Blvd
Knoxville, TN 37923-4425
Phone
(865) 690-3811
Fax
(865) 525-6498
NPI assigned
Mar 13, 2008
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME99488 FL
Urology Physician 208800000X MD0000047250 TN Primary

Addresses

Primary practice location

9245 Park West Blvd
Knoxville, TN 37923-4425

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Other identifiers 1

IdentifierTypeStateIssuer
1524562MedicaidTN

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
I20110706000425 TN Practitioner - Urology 8123206547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Brody School of Medicine at East Carolina University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1405 S Sizer Ave
Suite a
Jefferson City, TN 37760-2421
Phone (865) 690-3811

7557 Dannaher Dr
Suite 230
Powell, TN 37849-3563
Phone (865) 938-5222

800 Oak Ridge Tpke
A101
Oak Ridge, TN 37830-6927
Phone (865) 483-1093

9245 Park W Blvd
Knoxville, TN 37923-4425
Phone (865) 690-3811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME99488FLMDUrology Physician
MD0000047250TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates LLC Urology Current Accepting new patients
Tennessee Urology Associates, PLLC Urology CurrentSince May 1, 2014 Accepting new patients
Tennessee Urology Associates, PLLC Urology CurrentSince Aug 1, 2011 Accepting new patients
Tennessee Urology Associates, PLLC Urology CurrentSince May 1, 2014 Accepting new patients

Locations

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1855 Tanner Way
Ste 240
Harriman, TN 37748
Phone (865) 316-3985

110 Hospital Dr
Ste G60
Jefferson Cty, TN 37760
Phone (865) 471-2523

1405 S Sizer Ave
Ste A
Jefferson Cty, TN 37760
Phone (865) 475-1397

9245 Park West Blvd
Knoxville, TN 37923
Phone (865) 690-3811

9724 Kingston Pike
Knoxville, TN 37922
Phone (865) 310-5008

9724 Kingston Pike
Ste 800
Knoxville, TN 37922

800 Oak Ridge Tpke
Ste A101
Oak Ridge, TN 37830
Phone (865) 483-1093

Interoperability endpoints

  • Direct secure messaging: timothyleroy@tuac.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1770754137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 PARK WEST BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234425",
            "telephone_number": "865-690-3811",
            "fax_number": "865-525-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEROY",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-13",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME99488",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "MD0000047250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524562",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.