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DR. ISSAM M ALMASHHARAWI M.D.
NPI 1598734006
Hospitalist in Knoxville, TN

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1924 ALCOA HWY, U56, KNOXVILLE, TN 37920(865) 305-9081(865) 305-8769 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 21, 2017 (3 updates tracked since 2017).

About Dr. Issam M Almashharawi M.d. NPPES

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

DR. ISSAM M ALMASHHARAWI M.D. (NPI 1598734006) is an individual hospitalist provider in Knoxville, Tennessee, licensed in Tennessee (38366) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1598734006
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. ISSAM M ALMASHHARAWICredential: M.D.
Location Address1924 ALCOA HWY, U56Knoxville, TN 37920-1511
Mailing AddressPo Box 440426Nashville, TN 37244-0426 · (865) 670-6199 · Fax (865) 670-6198
Phone(865) 305-9081
Fax(865) 305-8769
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 16, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1598734006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TN · 38366
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD0000038366 (TN)
1924 ALCOA HWY, Knoxville, TN 37920
Open in Google Maps ↗

Secondary Practice Location 1

Location 12400 Patterson St, Suite # 311Nashville, TN 37203-1562 · Phone (615) 342-6830 · Fax (615) 342-6836

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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

Dr. Issam M Almashharawi M.d. 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 ID1456335413
PECOS Enrollment IDI20040616001057
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 Issam Almashharawi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Health System, Inc
Same address
Dermatology
1924 ALCOA HWY
Knoxville, TN 37920
  • Reassigned Medicare billing, Tennessee enrollment
  • 832 clinicians in this Medicare group
NPI 1083332951 (865) 305-9410

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
519 services169 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
143 services48 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
143 services141 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
70 services69 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

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 37920 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%254 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers19 claims19 services$16.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers31 claims31 services$79.11 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 20

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

MRS. SUSANNE LORI MITCHELL RN
Registered Nurse (Obstetric, High-Risk)
1924 ALCOA HWY, 6S
KNOXVILLE, TN 37920
Knox County (865) 305-8888
DR. FELIX JOSEPH NEPVEUX V M.D.
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY, UNIV. OF TENNESSEE MEDICAL CENTER, DEPT. OF PATHOLOGY
KNOXVILLE, TN 37920
Knox County (864) 498-8960
DR. SPENCER PUGH M.D.
Internal Medicine (Pulmonary Disease)
1924 ALCOA HWY, DEPARTMENT OF MEDICINE U-114 GSM, UTMCK
KNOXVILLE, TN 37920
Knox County (865) 305-9340
CAITLIN TABLER LOWE
Nurse Practitioner (Gerontology)
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-7255
CHRISTIAN BAYLESS CRNA
Nurse Anesthetist, Certified Registered
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-9000
JOAN JAKAB
Pharmacist
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-5337
UNIVERSITY PATHOLOGISTS, P.C.
Pathology (Anatomic Pathology & Clinical Pathology)
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-9080
DAPHNE M. NORWOOD, MD
Internal Medicine
1924 ALCOA HWY, BOX U114
KNOXVILLE, TN 37920
Knox County (865) 305-9349

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 Issam Almashharawi's NPI number?

The NPI number for Issam Almashharawi is 1598734006. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Issam Almashharawi located?

Issam Almashharawi practices at 1924 Alcoa Hwy U56, Knoxville, TN 37920. The listed phone number is (865) 305-9081.

What is Issam Almashharawi's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Issam Almashharawi enrolled in Medicare?

Yes. Issam Almashharawi 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 organization bills Medicare for Issam Almashharawi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Issam Almashharawi reassigns Medicare benefits to University Health System, Inc (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 Issam Almashharawi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Issam Almashharawi accept?

Health plans from Cigna Healthcare list Issam Almashharawi 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 Issam Almashharawi affiliated with any hospitals?

According to CMS data, Issam Almashharawi is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Issam Almashharawi was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.