Kevin Charles Visconti, M.D.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

50829 Issued in TN

Practice address

2335 Knob Creek Rd Ste 100
Johnson City, TN 37604-2002

Phone

(423) 430-9942

Fax

(423) 212-8700

NPI assigned

Jun 11, 2009

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Obstetrics/Gynecology

Education

East Tennessee State University Quillen College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Risk Obstetrical Consultants, PLLCGroup PAC ID 8729137021, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• High Risk Obstetrical Consultants, PLLC

  • Maternal & Fetal Medicine Physician
  • Knoxville, TN
  • NPI 1770724676
  Medicare reassignment Care Compare group NPD
• Medical Education Assistance Corporation

  dba ETSU Physicians and Associates

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1235180480

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Regional Obstetrical Consultants PC

  • Maternal & Fetal Medicine Physician
  • Chattanooga, TN
  • NPI 1861485146
  Medicare reassignment

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1821225327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY STE A435",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201520",
            "telephone_number": "865-263-2400",
            "fax_number": "865-263-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 KNOB CREEK RD STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042002",
            "telephone_number": "423-430-9942",
            "fax_number": "423-212-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Alcoa Highway",
            "address_2": "Building A Suite 435",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37920",
            "country_code": "US",
            "telephone_number": "865-305-8888",
            "fax_number": "865-305-6180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 N State Of Franklin Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046056",
            "country_code": "US",
            "telephone_number": "423-439-7272",
            "fax_number": "423-439-7235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Sheridan Sq Ste 105",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376607398",
            "country_code": "US",
            "telephone_number": "423-430-9942",
            "fax_number": "423-212-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISCONTI",
        "first_name": "KEVIN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0000050829",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TN",
            "license": "50829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maternal & Fetal Medicine Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Maternal & Fetal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.