Active NPI
Petros Gene Leinonen, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oak Ridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 56986
- Practice address
- 988 Oak Ridge Tpke Ste 380
Oak Ridge, TN 37830 - Phone
- (865) 481-0183
- Fax
- (865) 481-0186
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD22537 | OR | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | R0057 | TX | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 56986 | TN | Primary |
Addresses
Primary practice location
988 Oak Ridge Tpke Ste 380
Oak Ridge, TN 37830
Mailing address
988 Oak Ridge Tpke Ste 380
Oak Ridge, TN 37830-6998
Phone (865) 481-0183
Other practice location 1
3851 Roger Brooke Dr
Brooke Army Medical Center MCHE-QD(Creds)
Fort Sam Houston, TX 78234-4501
Phone (210) 916-2412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q035750 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9125 Cross Park Dr
Suite 200
Knoxville, TN 37923-4563
Phone (865) 632-5900
988 Oak Ridge Tpke
Suite 380
Oak Ridge, TN 37830-6998
Phone (865) 481-0183
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56986 | TN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| R0057 | TX | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Cardiovascular Surgery Group, P.C | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
Locations
9330 Park West Blvd
Ste 100
Knoxville, TN 37923
Phone (865) 373-7942
9125 Cross Park Dr
Ste 200
Knoxville, TN 37923
Phone (865) 632-5900
Dept 888101
Knoxville, TN 37995
988 Oak Ridge Tpke
Ste 380
Oak Ridge, TN 37830
Phone (865) 481-0183
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 and National Provider Directory roles.
-
- Contractor
- Knoxville, TN
- NPI 1679525448
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
-
- General Acute Care Hospital
- Oak Ridge, TN
- NPI 1700870672
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1891765848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988 OAK RIDGE TPKE STE 380",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306998",
"telephone_number": "865-481-0183",
"fax_number": "865-481-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 OAK RIDGE TPKE STE 380",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "37830",
"telephone_number": "865-481-0183",
"fax_number": "865-481-0186"
}
],
"practiceLocations": [
{
"address_1": "3851 Roger Brooke Dr",
"address_2": "Brooke Army Medical Center MCHE-QD(Creds)",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782344501",
"country_code": "US",
"telephone_number": "210-916-2412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEINONEN",
"first_name": "PETROS",
"middle_name": "GENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "OR",
"license": "MD22537",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "R0057",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TN",
"license": "56986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q035750",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.