NPIMap

Individual provider Active NPI

Steven Edward Repka, M.D.

  • Diagnostic Radiology Physician
  • Knoxville, TN
National Provider Identifier
1841463627
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
44733 Issued in TN
Practice address
Dept 888302
Knoxville, TN 37995-1661
Phone
(865) 766-6870
NPI assigned
Apr 11, 2008
Last updated
Sep 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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 44733 TN Primary

Addresses

Primary practice location

Dept 888302
Knoxville, TN 37995-1661

Mailing address

2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Phone (865) 766-6870

Other identifiers 1

IdentifierTypeStateIssuer
1513368MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, MS3 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
I20090612000571 TN Practitioner - Diagnostic Radiology 7315010758 Reassigns benefits to 5 organizations
I20190219002964 KY Practitioner - Diagnostic Radiology 7315010758 Reassigns benefits to 1 organization
I20220331002897 MS Practitioner - Diagnostic Radiology 7315010758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Radiology, PCGroup PAC ID 9234041559, 64 clinicians

Practice addresses (Care Compare)

123 N 19TH St
A103
Middlesboro, KY 40965-2865
Phone (606) 248-3171

2001 Laurel Ave
Knoxville, TN 37916-1810
Phone (865) 546-9484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
75.62
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Radiology Services LLC Diagnostic Radiology CurrentSince Dec 14, 2021 Accepting new patients
Covenant Health Diagnostic Centers, LLC CurrentSince Jan 3, 2022 Accepting new patients
Vista Radiology, PC. Diagnostic Radiology CurrentSince Jul 1, 2009 Accepting new patients
Covenant Health Diagnostic Centers, LLC CurrentSince Jan 3, 2022 Accepting new patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Downtown Radiology Inc PastSince Dec 27, 2018 Accepting new patients

Locations

123 N 19th St
#A103
Middlesboro, KY 40965
Phone (606) 248-3171

10 Little Brook Rd
West Wareham, MA 02576

7420 Guthrie Dr N
Ste 105
Southaven, MS 38671
Phone (716) 435-5044

266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864

210 Fort Sanders West Blvd
Bldg 3
Knoxville, TN 37922
Phone (865) 531-5200

4709 Papermill Dr
Ste 201
Knoxville, TN 37909

7625 Chapman Hwy
Ste 105
Knoxville, TN 37920
Phone (865) 331-8550

Dept 888302
Knoxville, TN 37995

Dept 888606
Knoxville, TN 37995

Interoperability endpoints

  • Direct secure messaging: srepka872655@direct.ghs.myhfn.org

Organizations & group practices 6

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 5

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": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1841463627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE # N304",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-766-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT 888302",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379951661",
            "telephone_number": "865-766-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPKA",
        "first_name": "STEVEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "44733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513368",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.