Kanishka Chakraborty, M.D
Individual provider Active NPI Medical Oncology Physician · Kingsport, TN
NPI 1992993760 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1992993760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- License
- 47679 (TN)
- Practice address
- 4 Sheridan SQ Ste 102
Kingsport, TN 37660-7435 - Phone
- (423) 588-7140
- Fax
- (423) 588-7141
- NPI assigned
- Oct 5, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Medical Oncology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tennessee Cancer Specialists PLLC
Practice addresses (Care Compare)
1031 W Madison Ave
Athens, TN 37303-3498
Phone (423) 745-6575
1301 Sunset Dr
Suite 3
Johnson City, TN 37604-7906
Phone (423) 588-7130
1665 E Andrew Johnson Hwy
Suite 2
Greeneville, TN 37745-5826
Phone (423) 639-0243
4 Sheridan SQ
Suite 102
Kingsport, TN 37660-7435
Phone (423) 588-7140
7650 Dannaher Dr
Suite 100
Powell, TN 37849-4052
Phone (865) 637-9330
900 E Hill Ave
Suite 230
Knoxville, TN 37915-2565
Phone (865) 862-0998
Hospital & facility affiliations
- Johnson City Medical Center
- Greeneville Community Hospital
- Wellmont Holston Valley Medical Center
- Franklin Woods Community Hospital
- Wellmont Bristol Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120914000515 | TN | Practitioner - Medical Oncology |
9335397447 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Cancer Specialist PLLC | Current |
Accepting new patients | |
| Tennessee Cancer Specialists PLLC | Current |
Accepting new patients |
Locations
1410 Tusculum Blvd
Ste 2200
Greeneville, TN 37745
Phone (423) 639-0243
1665 E Andrew Johnson Hwy
Ste 2
Greeneville, TN 37745
Phone (423) 639-0243
1301 Sunset Dr
Ste 3
Johnson City, TN 37604
Phone (423) 588-7130
4 Sheridan Sq
Ste 102
Kingsport, TN 37660
Phone (423) 246-8196
900 E Hill Ave
Ste 230
Knoxville, TN 37915
Phone (865) 862-0998
1415 Old Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 934-5806
6016 Brookvale Ln
Ste 200
Knoxville, TN 37919
Phone (865) 862-0998
7551 Dannaher Dr
Powell, TN 37849
Phone (865) 637-9330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 47679 | TN | |
| Medical Oncology Physician | 207RX0202X | 47679 | TN | Yes |
Addresses
Primary practice location
4 Sheridan SQ Ste 102
Kingsport, TN 37660-7435
Mailing address
900 E Hill Ave Ste 230
Knoxville, TN 37915-2565
Phone (865) 862-0998
Other practice location 1
1410 Tusculum Blvd Ste 2200
Greeneville, TN 37745-5822
Phone (423) 639-0243
Other providers in Kingsport, TN
- Centerpointe Medical Clinic, LLC
- Centerwell Certified Healthcare Corp.
- Emilee Ann Chacon
- Frank B Chadwick Jr.
- Crystal Danielle Chafin
- Marian L Chamberlin
- Bonita Chambers
- Ronald Ernest Chambers
- Champion Physical Therapy LLC Halls
- Sarah Elizabeth Chandler
All providers in Kingsport, TN · Medical Oncology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.