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BOULEVARD ENT SURGERY CENTER LLC
NPI 1528762671
Clinic/Center - Ambulatory Surgical in Knoxville, TN

Active since March 30, 2023CLIA 44D2286989 · Waiver
9300 PARK WEST BLVD, KNOXVILLE, TN 37923(865) 427-4040(865) 427-4041 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boulevard Ent Surgery Center Llc NPPES

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

BOULEVARD ENT SURGERY CENTER LLC (NPI 1528762671) is a healthcare organization registered as an ambulatory surgical in Knoxville, Tennessee and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through August 7, 2027 and lists Janelle L Johnson, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1528762671
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBOULEVARD ENT SURGERY CENTER LLC
Location Address9300 PARK WEST BLVDKnoxville, TN 37923-4301
Mailing Address9300 Park West BlvdKnoxville, TN 37923-4301 · (865) 427-4040 · Fax (865) 427-4041
Phone(865) 427-4040
Fax(865) 427-4041
Organization SubpartNo
Authorized OfficialJanelle L JohnsonAdministrative Director · (865) 427-4040
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
✔ NPI 1528762671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
9300 PARK WEST BLVD, Knoxville, TN 37923
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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 44D2286989

Boulevard Ent Surgery Center LLC · Knoxville, TN
Active · expires Aug 7, 2027
CLIA Number44D2286989
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorAlana Booth
Laboratory Phone(865) 427-4040
Laboratory LocationBoulevard Ent Surgery Center LLC9300 Park West Blvd, Knoxville, TN 37923
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

Removal of nasal air passage under lining tissue 30140
This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.
50 services25 patients
Removal of nasal sinus tissue using an endoscope 31267
This procedure, known as endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera to view and remove problematic nasal sinus tissue. It helps to alleviate sinus issues and improve breathing.
24 services14 patients
Reshaping of nasal cartilage 30520
Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.
20 services20 patients
Incision of nasal sinus using an endoscope 31256
This procedure, called endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera on the end, known as an endoscope. It's inserted into the nasal passages to view and remove obstructions in the sinuses, helping to alleviate symptoms.
19 services13 patients

Other Providers at the Same Location NPPES

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

KNOXVILLE AMBULATORY SURGERY CENTER LP
Clinic/Center (Ambulatory Surgical)
9300 PARK WEST BLVD
KNOXVILLE, TN 37923
Knox County (865) 691-2725

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 Boulevard Ent Surgery Center LLC's NPI number?

The NPI number for Boulevard Ent Surgery Center LLC is 1528762671. It was assigned to this organization in the NPPES registry on March 30, 2023.

Where is Boulevard Ent Surgery Center LLC located?

Boulevard Ent Surgery Center LLC is located at 9300 Park West Blvd, Knoxville, TN 37923. The listed phone number is (865) 427-4040.

What is Boulevard Ent Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Boulevard Ent Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2286989) is associated with this NPI, valid through August 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Boulevard Ent Surgery Center LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Boulevard Ent Surgery Center LLC 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 Boulevard Ent Surgery Center LLC was last updated on March 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.