EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.
NPI 1639254972
Surgery - Pediatric Surgery in Knoxville, TN
About East Tennessee Children's Hospital Association, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC. (NPI 1639254972), doing business as Dolly Parton Children's Hospital Surgery, is a healthcare organization registered as a pediatric surgery in Knoxville, Tennessee and active in the NPI registry since October 2006. The organization maintains a secondary practice location in Knoxville and lists Andrew Rosendahl, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 2
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Tennessee Children's Hospital Association, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to East Tennessee Children's Hospital Association, Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 East Tennessee Children's Hospital Association, Inc.'s NPI number?
The NPI number for East Tennessee Children's Hospital Association, Inc. is 1639254972. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Dolly Parton Children's Hospital Surgery and East Tennessee Children's Hospital Pediatric Surgery.
Where is East Tennessee Children's Hospital Association, Inc. located?
East Tennessee Children's Hospital Association, Inc. is located at 2100 Clinch Ave Ste 510, Knoxville, TN 37916. The listed phone number is (865) 546-2131.
What is East Tennessee Children's Hospital Association, Inc.'s specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is East Tennessee Children's Hospital Association, Inc. enrolled in Medicare?
Yes. East Tennessee Children's Hospital Association, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Tennessee Children's Hospital Association, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to East Tennessee Children's Hospital Association, Inc.. 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. The largest specialties are Pediatric Medicine (3), Cardiovascular Disease (Cardiology) (1) and Endocrinology (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for East Tennessee Children's Hospital Association, Inc. was last updated on September 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# East Tennessee Children's Hospital Association, Inc. · NPI 1639254972
Pediatric Surgery organization in Knoxville, Tennessee. Organization record, active in the CMS NPPES registry since October 26, 2006.
## Identity
- **NPI:** 1639254972 (Entity type: Organization)
- **Enumerated:** October 26, 2006
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **Also known as:** Dolly Parton Children's Hospital Surgery (Doing Business As); East Tennessee Children's Hospital Pediatric Surgery (Doing Business As)
- **Organization subpart:** Yes (part of East Tennessee Children's Hospital Association, Inc.)
- **Authorized official:** Andrew Rosendahl, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 2100 CLINCH AVE STE 510, Knoxville, TN 37916-2225
- **Phone:** (865) 546-2131 · **Fax:** (877) 821-0891
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (3), Cardiovascular Disease (Cardiology) (1), Endocrinology (1); 5 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 5, 2026
- **Other identifiers:** Medicaid 3722556 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1639254972) · Data from the CMS NPPES public registry.