MOUNTAIN STATES HEALTH ALLIANCE
NPI 1093580466
Internal Medicine - Hematology & Oncology in Johnson City, TN
About Mountain States Health Alliance NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTAIN STATES HEALTH ALLIANCE (NPI 1093580466) is a healthcare organization registered as a hematology & oncology in Johnson City, Tennessee and active in the NPI registry since November 2023. The organization lists Patricia Tarte, Enrollment Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mountain States Health Alliance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Mountain States Health Alliance, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (17)
Johnson City, TN 37604
Johnson City, TN 37604
Johnson City, TN 37604
Johnson City, TN 37604
Wright Patterson Afb, OH 45433
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mountain States Health Alliance's NPI number?
The NPI number for Mountain States Health Alliance is 1093580466. It was assigned to this organization in the NPPES registry on November 16, 2023. The provider is also known as Ballad Health Cancer Care at Johnson City.
Where is Mountain States Health Alliance located?
Mountain States Health Alliance is located at 1 Professional Park Dr Ste 21, Johnson City, TN 37604. The listed phone number is (423) 232-6900.
What is Mountain States Health Alliance's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Mountain States Health Alliance enrolled in Medicare?
Yes. Mountain States Health Alliance is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mountain States Health Alliance?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Mountain States Health Alliance. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Hematology/Oncology (3) and Internal Medicine (3). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mountain States Health Alliance was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mountain States Health Alliance · NPI 1093580466
Hematology & Oncology organization in Johnson City, Tennessee. Organization record, active in the CMS NPPES registry since November 16, 2023.
## Identity
- **NPI:** 1093580466 (Entity type: Organization)
- **Enumerated:** November 16, 2023
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **Also known as:** Ballad Health Cancer Care at Johnson City (Other Name)
- **Organization subpart:** No
- **Authorized official:** Patricia Tarte, ENROLLMENT SUPERVISOR
## Practice location
- **Address:** 1 PROFESSIONAL PARK DR STE 21, Johnson City, TN 37604-6909
- **Phone:** (423) 232-6900 · **Fax:** (423) 232-6903
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Hematology/Oncology (3), Internal Medicine (3); 4 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1093580466) · Data from the CMS NPPES public registry.