Individual provider Active NPI

Mary Kathryn Massaro, PA-C

  • Surgical Physician Assistant
  • Knoxville, TN
National Provider Identifier
1952793135
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2732 Issued in TN
Practice address
1934 Alcoa Hwy
Ste 362
Knoxville, TN 37920-1524
Phone
(865) 305-4670
Fax
(865) 305-4671
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2732 TN Primary

Addresses

Primary practice location

1934 Alcoa Hwy
Ste 362
Knoxville, TN 37920-1524

Mailing address

PO Box 440445
Nashville, TN 37244-0445
Phone (865) 670-6199

Other identifiers 1

IdentifierTypeStateIssuer
Q013086MedicaidTN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160223001535 TN Practitioner - Physician Assistant 3476858879 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians
Mobile Hyperbaric Centers, LLCGroup PAC ID 4082682778, 16 clinicians

Practice addresses (Care Compare)

1930 Alcoa Hwy
Knoxville, TN 37920-1510

1930 Alcoa Hwy 235
Knoxville, TN 37920-1510
Phone (865) 305-4670

9330 Park W Blvd
Knoxville, TN 37923-4308
Phone (865) 373-2030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2732TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetwater Hospital Association CurrentSince Mar 3, 2020 Accepting new patients
Mobile Hyperbaric Centers, LLC CurrentSince Oct 27, 2025 Accepting new patients
Sweetwater Hospital ER Physician Group CurrentSince Mar 3, 2020 Accepting new patients
University Health System Inc CurrentSince Apr 1, 2015 Accepting new patients
University Health System, Inc CurrentSince Apr 1, 2015 Accepting new patients
Sweetwater Hospital Association Past Accepting new patients

Locations

127 Public Sq
Ste 2400
Cleveland, OH 44114

600 Superior Ave
Ste 2400
Cleveland, OH 44114
Phone (216) 337-1622

1930 Alcoa Hwy
Ste 235
Knoxville, TN 37920
Phone (865) 305-4670

1934 Alcoa Hwy
Ste 362
Knoxville, TN 37920
Phone (865) 305-4670

9330 Park West Blvd
Ste 108
Knoxville, TN 37923
Phone (865) 769-8635

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sweet-8feb766f

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1952793135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440445",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440445",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 ALCOA HWY",
            "address_2": "STE 362",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201524",
            "telephone_number": "865-305-4670",
            "fax_number": "865-305-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARO",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "2732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013086",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.