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DR. ESSAM M AGHEL MD
NPI 1184651481
Internal Medicine in Knoxville, TN

Active since June 26, 2006PECOS Enrolled
4038 GAP RD, SUITE 101, KNOXVILLE, TN 37912(865) 689-5757 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 14, 2026, Feb 22, 2016, Nov 20, 2015 (3 updates tracked since 2015).

About Dr. Essam M Aghel Md NPPES

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

DR. ESSAM M AGHEL MD (NPI 1184651481) is an individual internal medicine provider in Knoxville, Tennessee, licensed in Tennessee (40298) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184651481
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ESSAM M AGHELCredential: MD
Location Address4038 GAP RD, SUITE 101Knoxville, TN 37912-5903
Mailing Address4038 Gap Rd, Suite 101Knoxville, TN 37912-5903 · (865) 689-5757
Phone(865) 689-5757
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1184651481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 40298
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 37652 (KY)
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 40298 (TN)
4038 GAP RD, Knoxville, TN 37912
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Other Identifiers 1

Medicaid64068430KY

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 (PECOS)

Dr. Essam M Aghel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Essam Aghel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diligent Medical Care, PLLC
Same address
Addiction Medicine
4038 GAP RD, SUITE 101
Knoxville, TN 37912
  • Reassigned Medicare billing, Tennessee enrollment
NPI 1972976256 (865) 689-5757

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37912 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.

Other Providers at the Same Location NPPES 20

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

MRS. ELIZABETH R. PETREE BS
Case Manager/Care Coordinator
4038 GAP RD
KNOXVILLE, TN 37912
Knox County (865) 525-0391
MISS JESSICA AMBER KENNEDY M.A.
Counselor (Mental Health)
4038 GAP RD, SUITE 202
KNOXVILLE, TN 37912
Knox County (865) 525-0391
LINDSAY TERRY
Case Manager/Care Coordinator
4038 GAP RD, SUITE 202
KNOXVILLE, TN 37912
Knox County (865) 525-0391
HILLARY L BRUNER
Counselor (Mental Health)
4038 GAP RD, SUITE 202
KNOXVILLE, TN 37912
Knox County (865) 525-0391
MRS. WINDI LOU LITTLE
Case Manager/Care Coordinator
4038 GAP RD, SUITE 202
KNOXVILLE, TN 37912
Knox County (865) 525-0391
MS. KARA LITTLE BSW
Case Manager/Care Coordinator
4038 GAP RD, SUITE 202
KNOXVILLE, TN 37912
Knox County (865) 525-0391
KIM RICKERSON
Social Worker
4038 GAP RD
KNOXVILLE, TN 37912
Knox County (865) 525-0391
MISS KEIA SHARIE LOVELESS B.S.W.
Case Manager/Care Coordinator
4038 GAP RD
KNOXVILLE, TN 37912
Knox County (865) 525-0391

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 Essam Aghel's NPI number?

The NPI number for Essam Aghel is 1184651481. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Essam Aghel located?

Essam Aghel practices at 4038 Gap Rd Suite 101, Knoxville, TN 37912. The listed phone number is (865) 689-5757.

What is Essam Aghel's specialty?

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

Is Essam Aghel enrolled in Medicare?

Yes. Essam Aghel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Essam Aghel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Essam Aghel reassigns Medicare benefits to Diligent Medical Care, PLLC (Knoxville, TN). The 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 Essam Aghel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Essam Aghel accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Essam Aghel 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.

When was this NPI record last updated?

The NPPES record for Essam Aghel was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.