BLAINE L. ENDERSON M.D.
NPI 1346283553
Surgery - Trauma Surgery in Knoxville, TN

Active since June 14, 2006PECOS Enrolled
1924 ALCOA HWY, U114, KNOXVILLE, TN 37920(865) 305-9340(865) 305-9231 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blaine L. Enderson M.d. NPPES

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

BLAINE L. ENDERSON M.D. (NPI 1346283553) is an individual trauma surgery provider in Knoxville, Tennessee, licensed in Tennessee (MD0000018190) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346283553
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameBLAINE L. ENDERSONCredential: M.D.
Location Address1924 ALCOA HWY, U114Knoxville, TN 37920-1511
Mailing AddressPo Box 440473Nashville, TN 37244-0473 · (865) 670-6199 · Fax (865) 670-6188
Fax(865) 305-9231
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateSeptember 27, 2011
NPI 1346283553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in TN · MD0000018190
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
1924 ALCOA HWY, Knoxville, TN 37920

Other Identifiers 4

Medicare ID-Type Unspecified3028291TN
Medicaid3028291TN
Medicare PIN103I021997TN
Medicaid3028290TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Blaine L. Enderson M.d. 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.

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.

Registered Nurse (Obstetric, High-Risk)
1924 ALCOA HWY, 6S
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY, UNIV. OF TENNESSEE MEDICAL CENTER, DEPT. OF PATHOLOGY
KNOXVILLE, TN 37920
Internal Medicine (Pulmonary Disease)
1924 ALCOA HWY, DEPARTMENT OF MEDICINE U-114 GSM, UTMCK
KNOXVILLE, TN 37920
Nurse Practitioner (Gerontology)
1924 ALCOA HWY
KNOXVILLE, TN 37920
Pharmacist
1924 ALCOA HWY
KNOXVILLE, TN 37920
Pathology (Anatomic Pathology & Clinical Pathology)
1924 ALCOA HWY
KNOXVILLE, TN 37920
Internal Medicine
1924 ALCOA HWY, BOX U114
KNOXVILLE, TN 37920
Nurse Anesthetist, Certified Registered
1924 ALCOA HWY
KNOXVILLE, TN 37920

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 Blaine Enderson's NPI number?

The NPI number for Blaine Enderson is 1346283553. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Blaine Enderson located?

Blaine Enderson practices at 1924 Alcoa Hwy U114, Knoxville, TN 37920. The listed phone number is (865) 305-9340.

What is Blaine Enderson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Blaine Enderson enrolled in Medicare?

Yes. Blaine Enderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blaine Enderson was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.