Steven Pribanich, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD34621 Issued in TN

Practice address

57 W Adams St
Crossville, TN 38555-4836

Phone

(931) 484-7675

Fax

(931) 484-3045

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• North Main Medical, LLC

  • Primary Care Clinic/Center
  • Crossville, TN
  • NPI 1679106306

  Family Medicine

  Medicare reassignment NPD
• Hospital Medicine Services of Tennessee PC

  • Hospitalist Physician
  • Lawrenceburg, IN
  • NPI 1528433802

  Family Medicine, TN

  Medicare reassignment NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD (past)
• Crossville Medical Group PA

  • Multi-Specialty Clinic/Center
  • Crossville, TN
  • NPI 1053414698
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1912918343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 LIVINGSTON RD",
            "address_2": "SUITE 101, PMB #49",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385556740",
            "telephone_number": "931-484-7675",
            "fax_number": "931-484-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W ADAMS ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554836",
            "telephone_number": "931-484-7675",
            "fax_number": "931-484-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIBANICH",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD34621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "38586451",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4231180",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barima Poku, MD
• Kaitlyn Powell, RN
• Kerri M Powell, CPNP
• Lauren Pratt, FNP
• Premise Health of Tennessee Medical PC
• Wanda Jean Price, APN, FNP-C
• William Matthew (Matt) Pugh, D.O.
• Putnam County Orthopedic Appliance Co., Inc.
• Quality Medical Center, PC
• Dylan Gray Qualls, DDS

• Family Medicine Physician in Crossville, TN
• Providers in Crossville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.