NPIMap

Individual provider Active NPI

Susan Reyes, MD

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1902834203
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD42643 Issued in TN
Practice address
9901 Sierra Vista LN
Knoxville, TN 37922-5736
Phone
(865) 599-0300
Fax
(865) 321-8887
NPI assigned
Jun 28, 2006
Last updated
Jul 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD42643 TN Primary

Addresses

Primary practice location

9901 Sierra Vista LN
Knoxville, TN 37922-5736

Mailing address

9901 Sierra Vista LN
Knoxville, TN 37922-5736
Phone (865) 599-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000045 TN Practitioner - Internal Medicine 3375446107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Sr Medical ServicesGroup PAC ID 6608931498, 5 clinicians

Practice addresses (Care Compare)

101 Cherokee PL
Suite 107
Loudon, TN 37774-4162
Phone (865) 408-9344

2497 S Roane St
Suite 110
Harriman, TN 37748-8666
Phone (865) 888-7826

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42643TNMDPharmacist
MD42643TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Associates LLC Internal Medicine Past Accepting new patients
Careservices of Central Florida LLC Past Accepting new patients
Lab Express LTD, PLLC PastSince Mar 2, 2011 Accepting new patients
NP Clinics of Tennessee Past Accepting new patients
Mobile Medical Industries Inc Past Accepting new patients
Psychiatric Concepts, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: susan.reyes.1@14521.direct.athenahealth.com

Organizations & group practices 7

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1902834203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 SIERRA VISTA LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225736",
            "telephone_number": "865-599-0300",
            "fax_number": "865-321-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 SIERRA VISTA LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225736",
            "telephone_number": "865-599-0300",
            "fax_number": "865-321-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD42643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.