Derrick A Roland, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

895 Issued in TN

Practice address

8870 Cedar Springs LN Ste 104
Knoxville, TN 37923-5407

Phone

(865) 686-8486

Fax

(865) 686-8486

NPI assigned

Apr 14, 2017

Last updated

Oct 3, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in KY, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot and Ankle Specialists of Tennessee PLLCGroup PAC ID 4082075114, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: droland872729@direct.ghs.myhfn.org

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.

• Foot and Ankle Specialists of Tennessee PLLC

  • Foot & Ankle Surgery Podiatrist
  • Knoxville, TN
  • NPI 1902582216

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Kentuckiana Foot & Ankle PLLC

  dba Kentucky/Indiana Foot and Ankle Specialist

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
  • NPI 1114177979
  Medicare reassignment

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

• Prisma Health - Blount Memorial Hospital Inc.

  dba Blount Memorial Hospital

  • General Acute Care Hospital
  • Maryville, TN
  • NPI 1619939071
  Care Compare affiliation

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1942734181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 CEDAR SPRINGS LN STE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235407",
            "telephone_number": "865-686-8486",
            "fax_number": "865-686-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 CEDAR SPRINGS LN STE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235407",
            "telephone_number": "865-686-8486",
            "fax_number": "865-686-8486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Old Weisgarber Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379091381",
            "country_code": "US",
            "telephone_number": "865-588-1605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "DERRICK",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Roife, M.D.
• Julia Roife
• Rata Rokhshad
• Jennifer Lea Rokisky, CPRS
• Clayton R Roland, PT, DPT
• Rebecca Sue Roland, MD
• James Jay Rolfe
• Carolyn L Roller, OT
• Carlos A Rollhauser, MD
• Benjamin Tyler Rollins, MD

• Foot & Ankle Surgery Podiatrist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.