Individual provider Active NPI

Elmer G Pinzon, MD

  • Physical Medicine & Rehabilitation Physician
  • Knoxville, TN
National Provider Identifier
1992761753
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35871 Issued in TN
Practice address
10710 Murdock Dr Ste 103
Knoxville, TN 37932-3257
Phone
(865) 690-3737
Fax
(865) 690-3757
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35871 TN Primary

Addresses

Primary practice location

10710 Murdock Dr Ste 103
Knoxville, TN 37932-3257

Mailing address

10710 Murdock Dr Ste 103
Knoxville, TN 37932-3257
Phone (865) 690-3737

Other practice location 1

110 Center Park Dr
Suite 103
Knoxville, TN 37922-2114
Phone (865) 690-3737

Other identifiers 1

IdentifierTypeStateIssuer
38717081MedicaidTN

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
I20061013000503 TN Practitioner - Physical Medicine and Rehabilitation 6709882764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Hahnemann University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10710 Murdock Dr
Knoxville, TN 37932-3257

11440 Parkside Dr
Suite 302
Knoxville, TN 37934-2662
Phone (865) 305-6333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elmer G. Pinzon CurrentSince Apr 17, 2008 Accepting new patients
Total Extended Care Services PC Physical Medicine & Rehabilitation CurrentSince Sep 10, 2024 Accepting new patients
The Pulmonary and Sleep Consultants, LLC PastSince Mar 1, 2020 Accepting new patients

Locations

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

616 W Forest Ave
Jackson, TN 38301
Phone (731) 422-0330

11440 Parkside Dr
Ste 302
Knoxville, TN 37934
Phone (865) 218-9220

10710 Murdock Dr
Ste 104
Knoxville, TN 37932
Phone (865) 777-1212

10710 Murdock Dr
Ste 103
Knoxville, TN 37932
Phone (865) 690-3737

Organizations & group practices 3

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1992761753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 MURDOCK DR STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323257",
            "telephone_number": "865-690-3737",
            "fax_number": "865-690-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MURDOCK DR STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323257",
            "telephone_number": "865-690-3737",
            "fax_number": "865-690-3757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Center Park Dr",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379222114",
            "country_code": "US",
            "telephone_number": "865-690-3737",
            "fax_number": "865-690-3757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINZON",
        "first_name": "ELMER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "35871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38717081",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.