Jacob Ty Zalewski, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

77259 Issued in TN

Practice address

1422 Old Weisgarber Rd
Knoxville, TN 37909-1293

Phone

(865) 558-4400

Fax

(865) 558-4421

NPI assigned

Apr 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, TN2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

East Tennessee State University Quillen College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anderson Clinic LLCGroup PAC ID 2264331263, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
• Inova Rehab Center@Inova Mount Vernon Hospital Inpatient rehabilitation facility, Alexandria, VA, CCN 49T122

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Anderson Clinic LLC

  • Orthopaedic Surgery Physician
  • Arlington, VA
  • NPI 1568488799

  DC

  Medicare reassignment Care Compare group NPD
• Anderson Clinic LLC

  • Orthopaedic Surgery Physician
  • Oxon Hill, MD
  • NPI 1205666435
  NPD

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

• Inova Health Care Services

  • Rehabilitation Hospital Unit
  • Alexandria, VA
  • NPI 1013048990

  Inpatient rehabilitation facility

  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1922139120
  Care Compare affiliation

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1871122572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 E WALKER SPRINGS LN STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233120",
            "telephone_number": "865-934-3329",
            "fax_number": "865-769-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 OLD WEISGARBER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091293",
            "telephone_number": "865-558-4400",
            "fax_number": "865-558-4421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Fort Sanders West Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379223355",
            "country_code": "US",
            "telephone_number": "865-558-4400",
            "fax_number": "865-558-4421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7750 Dannaher Dr",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378494039",
            "country_code": "US",
            "telephone_number": "865-558-4400",
            "fax_number": "865-558-4421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Vermont Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306478",
            "country_code": "US",
            "telephone_number": "865-558-4400",
            "fax_number": "865-483-8151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZALEWSKI",
        "first_name": "JACOB",
        "middle_name": "TY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-04",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TN",
            "license": "77259",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "77259",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "VA",
            "license": "0101285739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Dawn Zabala
• Katarzyna Agata Zabek, P.T.
• Elissa L Zachary, OTA/L
• Christine Zachman, NP
• Sandra Zaki, M.D.
• Zalmac Inc
• Karlyn J Zandstra, PNP
• Andrew John Zapor
• Josephine M Zarger, M.S.S.W., L.C.S.W.
• Thomas Gordon Zarger Jr., DDS

• Orthopaedic Surgery Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Orthopaedic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.