NPIMap

Individual provider Active NPI

Yaqub Ali, M.D.

  • Specialist
  • Knoxville, TN
National Provider Identifier
1801893771
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD31121 Issued in TN
Practice address
2001 Laurel Ave
Suite 202
Knoxville, TN 37916-1810
Phone
(865) 377-7199
Fax
(865) 637-5121
NPI assigned
Jul 6, 2005
Last updated
Oct 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD31121 TN Primary

Addresses

Primary practice location

2001 Laurel Ave
Suite 202
Knoxville, TN 37916-1810

Mailing address

2001 Laurel Ave
Suite 203
Knoxville, TN 37916-1810
Phone (865) 377-7199

Other identifiers 1

IdentifierTypeStateIssuer
3854318MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100503000329 TN Practitioner - Internal Medicine 0648270710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Knoxville Nephrology Associates, LLCGroup PAC ID 9537388525, 4 clinicians

Practice addresses (Care Compare)

2412 W Andrew Johnson Hwy
Unit 2
Morristown, TN 37814-3276
Phone (865) 377-7199

304 Wright St
BLDG B
Sweetwater, TN 37874-1181
Phone (865) 377-7199

6826 Tice LN
Knoxville, TN 37918-5240
Phone (865) 377-7199

689 Medical Park Dr
Suite 201
Lenoir City, TN 37772-5797
Phone (865) 377-7199

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.18 of 100Reported as individual
Quality
73.79
Improvement activities
40
Cost
70.26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Nephrology Associates LLC CurrentSince Aug 1, 2014 Accepting new patients
Apex Knox LLC PastSince Dec 1, 2004 Accepting new patients

Locations

6826 Tice Ln
Knoxville, TN 37918
Phone (865) 377-7199

689 Medical Park Dr
Lenoir City, TN 37772
Phone (865) 988-6330

689 Medical Park Dr
Ste 201
Lenoir City, TN 37772
Phone (865) 988-6575

Interoperability endpoints

  • Direct secure messaging: yaqub.ali@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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 9

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": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1801893771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE",
            "address_2": "SUITE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-377-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE",
            "address_2": "SUITE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-377-7199",
            "fax_number": "865-637-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "YAQUB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD31121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3854318",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.