Active NPI
Ronald K Jaekle, M.D.
- Maternal & Fetal Medicine Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 28922
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0850324 | Medicaid | OH | |
| 64867203 | Medicaid | KY | |
| 1522457 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35-061570 | OH | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Tennessee | Current | Accepting new patients | |
| High Risk Obstetrical Consultants, PLLC | Maternal & Fetal Medicine | Current | Accepting new patients |
| University of Tennessee | Current | 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.
-
- Maternal & Fetal Medicine Physician
- Knoxville, TN
- NPI 1770724676
-
- Multi-Specialty Clinic/Center
- Knoxville, TN
- NPI 1295751386
-
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1174221337
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
-
- Maternal & Fetal Medicine Physician
- Cincinnati, OH
- NPI 1679514855
-
- Obstetrics & Gynecology Physician
- Lake Charles, LA
- NPI 1770543076
Maternal & Fetal Medicine
-
- Primary Care Clinic/Center
- Monroe, LA
- NPI 1437552106
-
- Neonatal-Perinatal Medicine Physician
- Statesboro, GA
- NPI 1316206535
Maternal & Fetal Medicine
-
- Multi-Specialty Clinic/Center
- Baton Rouge, LA
- NPI 1366483315
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.