Individual provider Active NPI

Peter Kvamme, MD

  • Diagnostic Radiology Physician
  • Knoxville, TN
National Provider Identifier
1972506178
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35907 Issued in TN
Practice address
1924 Alcoa Hwy # U107
Knoxville, TN 37920-1511
Phone
(865) 544-9060
Fax
(865) 544-8435
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MD35907 TN
Diagnostic Radiology Physician 2085R0202X 35907 TN Primary

Addresses

Primary practice location

1924 Alcoa Hwy # U107
Knoxville, TN 37920-1511

Mailing address

PO Box 11167
Knoxville, TN 37939-1167
Phone (865) 584-7376

Other identifiers 1

IdentifierTypeStateIssuer
3870892MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100907000057 TN Practitioner - Interventional Radiology 0446349278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Tulane University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1928 Alcoa Hwy
Suite B100
Knoxville, TN 37920-1506
Phone (865) 305-6333

1928 Alcoa Hwy 102
Knoxville, TN 37920-1506
Phone (865) 305-6640

1928 Alcoa Hwy S 102
Knoxville, TN 37920-1506
Phone (865) 544-6740

2681 Andersonville Hwy
Suite 102
Clinton, TN 37716-6706
Phone (865) 494-5960

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD35907TNMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System Inc CurrentSince Nov 1, 2022 Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

410 N State of Franklin Rd
Ste 135B
Johnson City, TN 37604
Phone (423) 431-2477

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

11440 Parkside Dr
Ste 204
Knoxville, TN 37934
Phone (865) 675-1300

1924 Alcoa Hwy
#U107
Knoxville, TN 37920
Phone (865) 305-8685

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

Organizations & group practices 6

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1972506178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11167",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379391167",
            "telephone_number": "865-584-7376",
            "fax_number": "865-540-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # U107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-544-9060",
            "fax_number": "865-544-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVAMME",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TN",
            "license": "MD35907",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "35907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3870892",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.