UNIVERSITY PEDIATRIC UROLOGY, PC
NPI 1396779039
Specialist in Knoxville, TN
About University Pediatric Urology, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNIVERSITY PEDIATRIC UROLOGY, PC (NPI 1396779039) is a healthcare organization registered as a specialist in Knoxville, Tennessee and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 23, 2026 and lists Dean P Smith, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
University Pediatric Urology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to University Pediatric Urology, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D0954362
University Pediatric Urology · Knoxville, TNFrequently 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 University Pediatric Urology, PC's NPI number?
The NPI number for University Pediatric Urology, PC is 1396779039. It was assigned to this organization in the NPPES registry on July 10, 2006.
Where is University Pediatric Urology, PC located?
University Pediatric Urology, PC is located at 2100 W Clinch Ave Ste 120, Knoxville, TN 37916. The listed phone number is (865) 637-7290.
What is University Pediatric Urology, PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is University Pediatric Urology, PC enrolled in Medicare?
Yes. University Pediatric Urology, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through University Pediatric Urology, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to University Pediatric Urology, PC, in Nurse Practitioner and Urology. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does University Pediatric Urology, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D0954362) is associated with this NPI, valid through November 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does University Pediatric Urology, PC 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 University Pediatric Urology, PC 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 University Pediatric Urology, PC was last updated on November 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# University Pediatric Urology, Pc · NPI 1396779039
Specialist organization in Knoxville, Tennessee. Organization record, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1396779039 (Entity type: Organization)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Dean Smith, PRESIDENT
## Practice location
- **Address:** 2100 W CLINCH AVE STE 120, Knoxville, TN 37916-2288
- **Phone:** (865) 637-7290 · **Fax:** (865) 637-7289
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Urology (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 22, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 3379815
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396779039) · Data from the CMS NPPES public registry.