JACOB E BERMUDEZ MD
NPI 1679134761
Radiology - Diagnostic Radiology in Knoxville, TN
About Jacob E Bermudez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB E BERMUDEZ MD (NPI 1679134761) is an individual diagnostic radiology provider in Knoxville, Tennessee, licensed in Tennessee (74915) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Roane Medical Center, and is a graduate of University Of Minnesota Medical School (2018).
NPPES Registry Identity
Specialties & Licenses 2
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
Jacob E Bermudez Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacob Bermudez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Knoxville, TN 37916
- Reassigned Medicare billing, Tennessee enrollment
- 63 clinicians in this Medicare group
Knoxville, TN 37920
- Reassigned Medicare billing, Tennessee enrollment
- Also billed through NPI 1255950895 (Tennessee)
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Roane Medical Center
Acute Care Hospitals · Harriman, TNLeconte Medical Center
Acute Care Hospitals · Sevierville, TNFort Loudoun Medical Center
Acute Care Hospitals · Lenoir City, TNFort Sanders Regional Medical Center
Acute Care Hospitals · Knoxville, TNParkwest Medical Center
Acute Care Hospitals · Knoxville, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37916 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
KNOXVILLE, TN 37916
KNOXVILLE, TN 37916
KNOXVILLE, TN 37916
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 Jacob Bermudez's NPI number?
The NPI number for Jacob Bermudez is 1679134761. It was assigned to this individual provider in the NPPES registry on June 28, 2019.
Where is Jacob Bermudez located?
Jacob Bermudez practices at 2001 Laurel Ave # N304, Knoxville, TN 37916. The listed phone number is (865) 595-4100.
What is Jacob Bermudez's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Jacob Bermudez enrolled in Medicare?
Yes. Jacob Bermudez 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 organizations bill Medicare for Jacob Bermudez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Bermudez reassigns Medicare benefits to 2 organizations: Vista Radiology, PC. (Knoxville, TN) and Covenant Health Diagnostic Centers, LLC (Knoxville, TN). Each 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 Jacob Bermudez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacob Bermudez affiliated with any hospitals?
According to CMS data, Jacob Bermudez is affiliated with Roane Medical Center, Leconte Medical Center, Fort Loudoun Medical Center, Fort Sanders Regional Medical Center and Parkwest Medical Center.
When was this NPI record last updated?
The NPPES record for Jacob Bermudez was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jacob E Bermudez, MD · NPI 1679134761
Diagnostic Radiology physician in Knoxville, Tennessee. Individual provider, active in the CMS NPPES registry since June 28, 2019.
## Identity
- **NPI:** 1679134761 (Entity type: Individual)
- **Enumerated:** June 28, 2019
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 74915 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 LAUREL AVE # N304, Knoxville, TN 37916-1810
- **Phone:** (865) 595-4100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Vista Radiology, PC. (NPI 1386698710, Knoxville, TN); Covenant Health Diagnostic Centers, LLC (NPI 1437886918, Knoxville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2018
## Record status
- **NPPES last updated:** June 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679134761) · Data from the CMS NPPES public registry.