Individual provider Active NPI

Andrew James Anzeljc, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Knoxville, TN
National Provider Identifier
1891061396
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
57004 Issued in TN
Practice address
4528 Chapman Hwy
Knoxville, TN 37920-4359
Phone
(865) 579-3920
Fax
(865) 579-3963
NPI assigned
Mar 29, 2012
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 75488 GA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 57004 TN Primary

Addresses

Primary practice location

4528 Chapman Hwy
Knoxville, TN 37920-4359

Mailing address

4528 Chapman Hwy
Knoxville, TN 37920-4359
Phone (865) 579-3920

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aanzeljc@baptisteye.direct.eyemdemr.com Health Information Exchange (HIE)

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
I20180913001887 TN Practitioner - Ophthalmology 5991007254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Eye Surgeons, PLLCGroup PAC ID 4284610486, 13 clinicians

Practice addresses (Care Compare)

4528 Chapman Hwy
Knoxville, TN 37920-4359
Phone (865) 579-3920

Merit-based Incentive Payment System (MIPS)

Final score
85.91 of 100Reported as group
Quality
94.17
Promoting interoperability
100
Improvement activities
40
Cost
58.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75488GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Eye Surgeons, PLLC CurrentSince Aug 15, 2018 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

140 Capital Dr
Ste 110
Knoxville, TN 37922
Phone (423) 581-0360

4528 Chapman Hwy
Knoxville, TN 37920
Phone (865) 579-3920

3001 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 581-0360

Interoperability endpoints

  • Direct secure messaging: aanzeljc@baptisteye.direct.eyemdemr.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.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1891061396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 CHAPMAN HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204359",
            "telephone_number": "865-579-3920",
            "fax_number": "865-579-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 CHAPMAN HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204359",
            "telephone_number": "865-579-3920",
            "fax_number": "865-579-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZELJC",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "75488",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "57004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aanzeljc@baptisteye.direct.eyemdemr.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4528 Chapman Hwy",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379204359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.