NPIMap

Individual provider Active NPI

Asif Sultan, M.D.

  • Nephrology Physician
  • Knoxville, TN
National Provider Identifier
1821278474
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
42655 Issued in TN
Practice address
2001 Laurel Ave
Suite 202
Knoxville, TN 37916-1810
Phone
(865) 637-5186
Fax
(865) 637-5121
NPI assigned
Nov 13, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 42655 TN Primary

Addresses

Primary practice location

2001 Laurel Ave
Suite 202
Knoxville, TN 37916-1810

Mailing address

2001 Laurel Ave
Suite 202
Knoxville, TN 37916-1810
Phone (865) 637-5186

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
I20080104000318 TN Practitioner - Internal Medicine 8325128523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
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

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
90.98 of 100Reported as individual
Quality
77.85
Improvement activities
40
Cost
71.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42655TNMDNephrology Physician

Practice roles

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

Locations

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

Interoperability endpoints

  • Direct secure messaging: asif.sultan@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 10

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": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1821278474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE",
            "address_2": "SUITE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-637-5186",
            "fax_number": "865-637-5121"
        },
        {
            "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": "865-637-5186",
            "fax_number": "865-637-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTAN",
        "first_name": "ASIF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "42655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.