Individual provider Active NPI

Robert F Elder, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Knoxville, TN
National Provider Identifier
1801994793
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
16326 Issued in TN
Practice address
1930 Alcoa Hwy
Ste 235
Knoxville, TN 37920-1500
Phone
(865) 305-5940
Fax
(865) 305-5941
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 16326 TN Primary

Addresses

Primary practice location

1930 Alcoa Hwy
Ste 235
Knoxville, TN 37920-1500

Mailing address

PO Box 440439
Nashville, TN 37244-0439
Phone (865) 670-6199

Other identifiers 1

IdentifierTypeStateIssuer
3043114MedicaidTN

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
I20031217000335 TN Practitioner - Obstetrics/Gynecology 6204748643 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc CurrentSince Jan 1, 2004 Accepting new patients
University of Tennessee CurrentSince Sep 1, 2006 Accepting new patients
University Health System, Inc Current Accepting new patients
University of Tennessee CurrentSince Sep 1, 2006 Accepting new patients
University Health System, Inc Past Accepting new patients

Locations

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1928 Alcoa Hwy
Ste 127
Knoxville, TN 37920
Phone (865) 305-8368

1930 Alcoa Hwy
Ste 235
Knoxville, TN 37920
Phone (865) 305-4670

10810 Parkside Dr
Ste 108
Knoxville, TN 37934
Phone (423) 728-1650

1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

4005 Fountain Valley Dr
Ste 350
Knoxville, TN 37918
Phone (865) 925-9020

1928 Alcoa Hwy
Ste 300
Knoxville, TN 37920
Phone (615) 637-6392

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1801994793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440439",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440439",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY",
            "address_2": "STE 235",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201500",
            "telephone_number": "865-305-5940",
            "fax_number": "865-305-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "ROBERT",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TN",
            "license": "16326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3043114",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.