Individual provider Active NPI

Emily Diltz, M.D.

  • Cardiovascular Disease Physician
  • Lenoir City, TN
National Provider Identifier
1972593986
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
27616 Issued in TN
Practice address
460 Medical Park Dr
Suite 103 B
Lenoir City, TN 37772-5782
Phone
(865) 803-6043
Fax
(865) 539-5936
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 27616 TN Primary

Addresses

Primary practice location

460 Medical Park Dr
Suite 103 B
Lenoir City, TN 37772-5782

Mailing address

460 Medical Park Dr
Suite 103 B
Lenoir City, TN 37772-5782
Phone (865) 803-6043

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
I20040603000323 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103808159 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Tufts University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Loudoun Medical CenterGroup PAC ID 3476451063, 3 clinicians

Practice addresses (Care Compare)

460 Medical Park Dr
Suite 103B
Lenoir City, TN 37772-5808
Phone (865) 803-6043

550 Fort Loudon Medical Ctr Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6500

Hospital & facility affiliations

  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Loudon Cardiology, PLLC Cardiovascular Disease CurrentSince Feb 1, 2017 Accepting new patients
Parkwest Medical Center CurrentSince Jan 1, 1999 Accepting new patients
Fort Loudoun Medical Center CurrentSince Mar 13, 2006 Accepting new patients
Parkwest Medical Center CurrentSince Jan 1, 1999 Accepting new patients
Covenant Medical Group, Inc. Cardiovascular Disease Past Accepting new patients
East Tennessee Heart Consultants, P.C. Cardiovascular Disease Past Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

460 Medical Park Dr
Ste 103
Lenoir City, TN 37772
Phone (865) 271-0038

460 Medical Park Dr
Ste 103B
Lenoir City, TN 37772
Phone (865) 803-6043

2347 Jones Bend Rd
Louisville, TN 37777
Phone (865) 373-8206

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1972593986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR",
            "address_2": "SUITE 103 B",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-803-6043",
            "fax_number": "865-539-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR",
            "address_2": "SUITE 103 B",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-803-6043",
            "fax_number": "865-539-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILTZ",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "27616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.