Individual provider Active NPI

Robert Paul Unkefer, MD

  • MOHS-Micrographic Surgery Physician
  • Vonore, TN
National Provider Identifier
1861579989
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
35046 Issued in TN
Practice address
125 Mountain View Dr Ste 300
Vonore, TN 37885-2666
Phone
(423) 884-2971
Fax
(423) 884-2984
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35046 TN
MOHS-Micrographic Surgery Physician 207ND0101X 35046 TN Primary

Addresses

Primary practice location

125 Mountain View Dr Ste 300
Vonore, TN 37885-2666

Mailing address

125 Mountain View Dr Ste 300
Vonore, TN 37885-2666
Phone (423) 884-2971

Other identifiers 1

IdentifierTypeStateIssuer
3864382MedicaidTN

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
I20111104000429 TN Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 0941325716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Baylor College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 Mountain View Dr
Suite 300
Vonore, TN 37885-2666
Phone (423) 884-2971

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision58
Removal of tissue1-10
Removal of skin lesions1893
Removal of skin cancer332
Removal of nail tissue1-10
Skin biopsy824

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Dermatology Group, PC Dermatology CurrentSince Oct 1, 2012 Accepting new patients
Unkefer Dermatology, PLLC Dermatology CurrentSince Mar 1, 2021 Accepting new patients
East Tennessee Medical Group, PC Mohs-Micrographic Surgery Past Accepting new patients

Locations

133 Associates Blvd
Alcoa, TN 37701
Phone (865) 233-7351

125 Mountain View Dr
Ste 300
Vonore, TN 37885
Phone (423) 884-2170

Interoperability endpoints

  • Direct secure messaging: runkefer@unkeferderm.emadirect.md
  • Direct secure messaging: runkefer872766@direct.ghs.myhfn.org

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1861579989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MOUNTAIN VIEW DR STE 300",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378852666",
            "telephone_number": "423-884-2971",
            "fax_number": "423-884-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MOUNTAIN VIEW DR STE 300",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378852666",
            "telephone_number": "423-884-2971",
            "fax_number": "423-884-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNKEFER",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "35046",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TN",
            "license": "35046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3864382",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vonore, TN

Sources for this page

Verify at the official NPI Registry.