NPIMap

Individual provider Active NPI

Kris B Saadeh, M.D.

  • Diagnostic Radiology Physician
  • Kingsport, TN
National Provider Identifier
1841278702
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
42089 Issued in TN
Practice address
130 W. Ravine
Kingsport, TN 37660
Phone
(423) 968-1144
Fax
(423) 968-3453
NPI assigned
Jan 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 42089 TN Primary

Addresses

Primary practice location

130 W. Ravine
Kingsport, TN 37660

Mailing address

3053 W. State St.
Bristol, TN 37620
Phone (423) 768-1144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN, VA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040920000276 SC Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 5890763718 Reassigns benefits to 2 organizations
I20070626000465 TN Practitioner - Diagnostic Radiology 5890763718 Reassigns benefits to 1 organization
I20201125001699 VA Practitioner - Diagnostic Radiology 5890763718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Emory University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42089TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidelands and Medquest Joint Venture, LLC CurrentSince Jan 1, 2026 Accepting new patients
Tidelands Health Market Common LLC CurrentSince Jan 1, 2026 Accepting new patients
Blue Ridge Radiology, P.C. Diagnostic Radiology CurrentSince May 1, 2007 Accepting new patients
Musc Community Physicians CurrentSince May 1, 2025 Accepting new patients
Musc Community Physicians Diagnostic Radiology Current Accepting new patients
Musc Community Physicians CurrentSince May 1, 2025 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

1 Medical Park Dr
Chester, SC 29706
Phone (803) 581-3151

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

120 Gateway Corporate Blvd
Columbia, SC 29203
Phone (803) 256-5320

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2150

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

595 W Carolina Ave
Varnville, SC 29944
Phone (803) 943-1221

1810 US Highway 321 Byp S
Winnsboro, SC 29180
Phone (803) 256-5600

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

3053 W State St
Bristol, TN 37620
Phone (423) 301-6567

4289 Bonny Oaks Dr
Ste 106
Chattanooga, TN 37406

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

Organizations & group practices 8

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1841278702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 W. STATE ST.",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "37620",
            "telephone_number": "423-768-1144",
            "fax_number": "423-968-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W. RAVINE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-968-1144",
            "fax_number": "423-968-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAADEH",
        "first_name": "KRIS",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-02",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "42089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.