Individual provider Active NPI

Robert Curtis McKoy, MD

  • Cardiovascular Disease Physician
  • Chattanooga, TN
National Provider Identifier
1790779189
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
18943 Issued in TN
Practice address
2339 McCallie Ave Ste 403
Chattanooga, TN 37404-3209
Phone
(423) 602-5536
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 18943 TN Primary

Addresses

Primary practice location

2339 McCallie Ave Ste 403
Chattanooga, TN 37404-3209

Mailing address

PO Box 606
Chattanooga, TN 37401-0606
Phone (423) 602-5536

Other identifiers 1

IdentifierTypeStateIssuer
3856544MedicaidTN

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
I20040624000415 TN Practitioner - Cardiovascular Disease (Cardiology) 6305821190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of North Carolina at Chapel Hill School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2339 McCallie Ave
Chattanooga, TN 37404-3256
Phone (423) 602-5536

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Cardiac and Vascular Diseases PLLC Cardiovascular Disease CurrentSince Sep 30, 2004 Accepting new patients
Memorial Health Care System Inc. Past Accepting new patients
Galen Medical Group, PC PastSince Dec 1, 1993 Accepting new patients
Ut Physicians Inc Past Accepting new patients
Jemison O. Bowers, MD PastSince Jan 20, 1997 Accepting new patients

Locations

2339 McCallie Ave
Ste 403
Chattanooga, TN 37404
Phone (423) 499-8189

979 E 3rd St
Ste B808
Chattanooga, TN 37403
Phone (423) 778-5536

Organizations & group practices 5

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1790779189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374010606",
            "telephone_number": "423-602-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 MCCALLIE AVE STE 403",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043209",
            "telephone_number": "423-602-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOY",
        "first_name": "ROBERT",
        "middle_name": "CURTIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "18943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3856544",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.