Individual provider Active NPI

Dana Fathy, M.D.

  • Diagnostic Radiology Physician
  • Knoxville, TN
National Provider Identifier
1992975940
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD0000041857 Issued in TN
Practice address
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone
(865) 305-9661
Fax
(865) 305-6148
NPI assigned
Mar 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD0000041857 TN Primary

Addresses

Primary practice location

1924 Alcoa Hwy
Knoxville, TN 37920-1511

Mailing address

2240 Sutherland Ave
Ste 107
Knoxville, TN 37919-2333
Phone (865) 584-7376

Other identifiers 2

IdentifierTypeStateIssuer
1524138MedicaidTN
7100165940MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20080723000327 VA Practitioner - Diagnostic Radiology 6002989100 Reassigns benefits to 1 organization
I20110630000189 TN Practitioner - Diagnostic Radiology 6002989100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas Tech University Health Science Center School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Association of University Radiologists, PCGroup PAC ID 0749269785, 36 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9661

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as group
Quality
89.39
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000041857TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Jul 18, 2017 Accepting new patients
Association of University Radiologists, PC Diagnostic Radiology CurrentSince Jul 1, 2011 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Association of University Radiologists, PC Diagnostic Radiology CurrentSince Jul 1, 2011 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 31, 2023 Accepting new patients

Locations

266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864

2240 Sutherland Ave
Ste 107
Knoxville, TN 37919
Phone 8655847376 ext. 241

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

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

1975 Town Center Blvd
Ste 206
Knoxville, TN 37922
Phone (865) 525-7100

7326 Maynardville Pike
Ste 1100
Knoxville, TN 37938
Phone (865) 251-4488

601 Hall of Fame Dr
Knoxville, TN 37915
Phone (865) 525-7100

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

5401 Kingston Pike
Ste 540
Knoxville, TN 37919

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

127 Health Care Dr
Pennington Gap, VA 24277
Phone (276) 299-5000

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 3

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1992975940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 SUTHERLAND AVE",
            "address_2": "STE 107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379192333",
            "telephone_number": "865-584-7376",
            "fax_number": "865-584-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9661",
            "fax_number": "865-305-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATHY",
        "first_name": "DANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD0000041857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524138",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100165940",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.