NPIMap

University Health System, Inc

Organization Active NPI Internal Medicine Physician · Knoxville, TN

NPI 1790738763 · NPPES record last updated Jun 5, 2020

Key facts

NPI
1790738763
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
UNIVERSITY HEALTH SYSTEM, INC
Practice address
9625 Kroger Park Dr
Ste 450
Knoxville, TN 37922-5880
Phone
(865) 690-2992
Fax
(865) 690-2993
NPI assigned
May 18, 2006
Organization subpart
No

Authorized official

Name
Beth A Maynard
Title
Vice President
Phone
(865) 670-6754

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 895

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 895

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Knoxville Rehabilitation Hospital
Knoxville, TN · CCN 443037		 Hospital 5% Or Greater Direct Ownership Interest (33.33%) Jun 22, 2021
Knoxville Center for Behavioral Medicine
Knoxville, TN · CCN 444031		 Hospital 5% Or Greater Direct Ownership Interest (20%) Mar 1, 2022
University of TN Medical Center Home Care Services-Home Health
Knoxville, TN · CCN 447230		 Home health agency 5% Or Greater Direct Ownership Interest (33%) Jul 1, 2007
University of TN Medical Center Home Health
Morristown, TN · CCN 447500		 Home health agency 5% Or Greater Indirect Ownership Interest (33%) Jul 22, 2008
University of TN Medical Center Home Care Services-Hospice
Knoxville, TN · CCN 441547		 Hospice 5% Or Greater Direct Ownership Interest (33%) May 1, 2007
University of TN Medical Center Hospice Services
Morristown, TN · CCN 441578		 Hospice 5% Or Greater Indirect Ownership Interest (33%) Jul 31, 2008

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031111000809 TN Part B Supplier - Clinic/Group Practice 5294646378 Receives reassigned benefits from 881 practitioners

National Provider Directory

Tax ID family
Nmorth Knox Primary Car (67 organizations share this tax ID)

Locations

1924 Alcoa Hwy
#U56
Knoxville, TN 37920
Phone (865) 305-9081

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

9625 Kroger Park Dr
Ste 450
Knoxville, TN 37922-5880

Mailing address

PO Box 415000-Msc8174
Nashville, TN 37241-8174
Phone (865) 670-6199

Other identifiers

IdentifierTypeStateIssuer
3285144MedicaidTN

Other names

  • UT Internal Medicine Pellissippi Doing business as

Other providers in Knoxville, TN

All providers in Knoxville, TN · Internal Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.