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HINA KOUSER MD
NPI 1114977964
Internal Medicine in Knoxville, TN

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
2030 FALLING WATERS RD STE 325, KNOXVILLE, TN 37922(865) 951-1300(865) 951-1303 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hina Kouser Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HINA KOUSER MD (NPI 1114977964) is an individual internal medicine provider in Knoxville, Tennessee, licensed in Tennessee (MD30513) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1114977964
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHINA KOUSERCredential: MD
Location Address2030 FALLING WATERS RD STE 325Knoxville, TN 37922-5893
Mailing Address2030 Falling Waters Rd Ste 325Knoxville, TN 37922-5893 · (865) 951-1300 · Fax (865) 951-1303
Phone(865) 951-1300
Fax(865) 951-1303
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 11, 2006
Last NPPES UpdateFebruary 9, 2024
NPPES CertifiedFebruary 7, 2024
✔ NPI 1114977964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · MD30513
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2030 FALLING WATERS RD STE 325, Knoxville, TN 37922
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Other Names 1

Former Name (1)Hina Shaheen Md

Other Identifiers 1

Medicaid3838615TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hina Kouser Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749323566
PECOS Enrollment IDI20100202000623
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Hina Kouser reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group, PLLC
0.5 mi
Family Medicine
1924 PINNACLE POINTE WAY STE 100
Knoxville, TN 37922
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,003 clinicians in this Medicare group
NPI 1033425780 (865) 584-5762
Healthstar Physicians, P.C.
50 mi
Family Medicine
420 W MORRIS BLVD, STE. 400A
Morristown, TN 37813
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Healthstar Physicians PC
  • 85 clinicians in this Medicare group
NPI 1184610248 (423) 581-5925

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
614 services432 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
215 services205 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
165 services165 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
119 services119 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
107 services103 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
20 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37922 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
25 suppliers1,171 claims1,171 services$44.12 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
23 suppliers739 claims739 services$111.84 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
24 suppliers718 claims1,604 services$42.96 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers326 claims1,501 services$24.16 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
12 suppliers284 claims1,309 services$17.96 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
18 suppliers632 claims632 services$68.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHSTAR PHYSICIANS PC
Internal Medicine
2030 FALLING WATERS RD STE 325
KNOXVILLE, TN 37922
Knox County (865) 951-1300
KELLIE L MATHEWSON NP
Nurse Practitioner
2030 FALLING WATERS RD STE 325
KNOXVILLE, TN 37922
Knox County (865) 951-1300

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 Hina Kouser's NPI number?

The NPI number for Hina Kouser is 1114977964. It was assigned to this individual provider in the NPPES registry on May 11, 2006. The provider is also known as Hina Shaheen MD.

Where is Hina Kouser located?

Hina Kouser practices at 2030 Falling Waters Rd Ste 325, Knoxville, TN 37922. The listed phone number is (865) 951-1300.

What is Hina Kouser's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hina Kouser enrolled in Medicare?

Yes. Hina Kouser is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Hina Kouser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hina Kouser reassigns Medicare benefits to 2 organizations: Summit Medical Group, PLLC (Knoxville, TN) and Healthstar Physicians, P.C. (Morristown, TN). Each 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 Hina Kouser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hina Kouser accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Hina Kouser as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hina Kouser affiliated with any hospitals?

According to CMS data, Hina Kouser is affiliated with Cumberland Medical Center and University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Hina Kouser was last updated on February 9, 2024. 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.