GHASSAN JAMAL WADI MD
NPI 1669009908
Student in an Organized Health Care Education/Training Program in Knoxville, TN

Active since March 26, 2020PECOS Enrolled
1924 ALCOA HWY, KNOXVILLE, TN 37920(865) 305-9340(865) 305-9144 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2020, Mar 26, 2020 (2 updates tracked since 2020).

About Ghassan Jamal Wadi Md NPPES

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

GHASSAN JAMAL WADI MD (NPI 1669009908) is an individual student in an organized health care education/training program in Knoxville, Tennessee and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669009908
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGHASSAN JAMAL WADICredential: MD
Location Address1924 ALCOA HWYKnoxville, TN 37920-1511
Mailing Address1924 Alcoa Hwy/ Ut Internal Medicine And Obgyn Center, Medical Building B, Suite 127Knoxville, TN 37920-1511 · (865) 305-9410 · Fax (865) 305-8261
Fax(865) 305-9144
Sole ProprietorNo
Enumeration DateMarch 26, 2020
Last NPPES UpdateApril 1, 20202 updates tracked since enumeration
NPPES CertifiedApril 1, 2020
NPI 1669009908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1924 ALCOA HWY, Knoxville, TN 37920

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ghassan Jamal Wadi Md 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 Ghassan Wadi's NPI number?

The NPI number for Ghassan Wadi is 1669009908. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Ghassan Wadi located?

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

What is Ghassan Wadi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ghassan Wadi enrolled in Medicare?

Yes. Ghassan Wadi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ghassan Wadi was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.