Individual provider Active NPI

Ronald K Jaekle, M.D.

  • Maternal & Fetal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1992704357
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
28922 Issued in TN
Practice address
1930 Alcoa Hwy Ste A435
Knoxville, TN 37920-1520
Phone
(865) 263-2400
Fax
(865) 263-2441
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 29190 KY
Maternal & Fetal Medicine Physician 207VM0101X 28922 TN Primary
Maternal & Fetal Medicine Physician 207VM0101X 35-061570 OH

Addresses

Primary practice location

1930 Alcoa Hwy Ste A435
Knoxville, TN 37920-1520

Mailing address

1930 Alcoa Hwy Ste A435
Knoxville, TN 37920-1520
Phone (865) 263-2400

Other identifiers 3

IdentifierTypeStateIssuer
0850324MedicaidOH
64867203MedicaidKY
1522457MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170417000304 TX Practitioner - Obstetrics/Gynecology 1153226147 Reassigns benefits to 1 organization
I20221116001212 TN Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 1153226147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Risk Obstetrical Consultants, PLLCGroup PAC ID 8729137021, 12 clinicians

Practice addresses (Care Compare)

1930 Alcoa Hwy
Suite A435
Knoxville, TN 37920-1520
Phone (865) 263-2400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-061570OHMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Tennessee CurrentSince Jul 9, 2022 Accepting new patients
High Risk Obstetrical Consultants, PLLC Maternal & Fetal Medicine CurrentSince Jan 24, 2023 Accepting new patients
University of Tennessee CurrentSince Jul 9, 2022 Accepting new patients
Lake Area Physician Services LLC Maternal & Fetal Medicine Past Accepting new patients
Woman'S Specialty Clinic Past Accepting new patients
University Health System, Inc. Past Accepting new patients
St. Francis Medical Center, Inc. Past Accepting new patients
Tennessee Physician Services, LLC Maternal & Fetal Medicine Past Accepting new patients
Greater Cincinnati Perinatal Associates, LLC Maternal & Fetal Medicine Past Accepting new patients

Locations

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

225 N Willow Ave
Ste 8
Cookeville, TN 38501
Phone (865) 263-2400

2335 Knob Creek Rd
Ste 100
Johnson City, TN 37604
Phone (423) 282-5332

1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350

1928 Alcoa Hwy
Ste B127
Knoxville, TN 37920
Phone (865) 305-8787

1930 Alcoa Hwy
Ste 435
Knoxville, TN 37920
Phone (865) 263-2400

1928 Alcoa Hwy
Ste 127
Knoxville, TN 37920
Phone (865) 305-8368

1930 Alcoa Hwy
Ste A435
Knoxville, TN 37920
Phone (865) 263-2400

109 Independence Ln
Ste 500
La Follette, TN 37766
Phone (423) 562-9744

609 McFarland St
Morristown, TN 37814
Phone (423) 492-7125

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

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1992704357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY STE A435",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201520",
            "telephone_number": "865-263-2400",
            "fax_number": "865-263-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY STE A435",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201520",
            "telephone_number": "865-263-2400",
            "fax_number": "865-263-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEKLE",
        "first_name": "RONALD",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "KY",
            "license": "29190",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TN",
            "license": "28922",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OH",
            "license": "35-061570",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0850324",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64867203",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522457",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.