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KELLY ROUSE DO
NPI 1689610230
Internal Medicine in Knoxville, TN

Active since June 21, 2006PECOS Enrolled
94.7/100
CMS Quality Rating
501 20TH ST, SUITE 503, KNOXVILLE, TN 37916(865) 541-1750(865) 541-1751 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Rouse Do NPPES

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

KELLY ROUSE DO (NPI 1689610230) is an individual internal medicine provider in Knoxville, Tennessee, licensed in Tennessee (1646) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689610230
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKELLY ROUSECredential: DO
Location Address501 20TH ST, SUITE 503Knoxville, TN 37916-1809
Mailing Address501 20th St, Suite 503Knoxville, TN 37916-1809 · (865) 541-1750 · Fax (865) 541-1751
Phone(865) 541-1750
Fax(865) 541-1751
Sole ProprietorYes
Enumeration DateJune 21, 2006
Last NPPES UpdateAugust 26, 2020
NPPES CertifiedAugust 26, 2020
✔ NPI 1689610230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 1646
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
501 20TH ST, Knoxville, TN 37916
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1401 Matthew StMarietta, OH 45750-1635 · Phone (740) 374-7700 · Fax (740) 374-7701
Location 21106 Colegate DrMarietta, OH 45750-1323 · Phone (740) 374-7700 · Fax (740) 374-7701

Other Identifiers 1

Medicaid3304318TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Rouse Do 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.

Medicare Billing Reassignments

9

Medicare enrollment records show Kelly Rouse reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group, PLLC
Same address
Internal Medicine
2001 LAUREL AVE, SUITE 105
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,003 clinicians in this Medicare group
NPI 1255410478 (865) 577-9247
Emergency Coverage, LLC
42 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Memorial Health Partners Foundation, Inc
97 mi
Internal Medicine
5600 BRAINERD RD, SUITE 500
Chattanooga, TN 37411
  • Reassigned Medicare billing, Tennessee enrollment
  • 570 clinicians in this Medicare group
NPI 1922053545 (423) 495-6870
App Of Tennessee Hm, PLLC
144 mi
Hospitalist
2835 HIGHWAY 231 N
Shelbyville, TN 37160
  • Reassigned Medicare billing, Tennessee enrollment
  • 498 clinicians in this Medicare group
NPI 1396160768 (931) 685-5433
Hospitalist Medicine Physicians Of Ohio-Columbus II Professional Corp
243 mi
Internal Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 204 clinicians in this Medicare group
NPI 1861038069 (740) 779-7500
Hospitalist Medicine Physicians Of Ohio, Professional Corporation
284 mi
Internal Medicine
6001 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 776 clinicians in this Medicare group
NPI 1043572290 (614) 234-7535
Inpatient Consultants Of Florida, Inc
419 mi
Internal Medicine
2001 KINGSLEY AVE
Orange Park, FL 32073
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1396795597 (954) 377-2909
Lee Memorial Health System
654 mi
Federally Qualified Health Center (FQHC)
3210 DR MARTIN LUTHER KING BLVD
Fort Myers, FL 33916
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1447099973 (239) 343-6050
Florida Hospital Medicine Services, LLC.
682 mi
Hospitalist
21644 STATE ROAD 7
Boca Raton, FL 33428
  • Reassigned Medicare billing, Florida enrollment
  • 516 clinicians in this Medicare group
NPI 1508873183 (561) 488-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician 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.

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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

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.

DR. JAMES WIKE M.D.
Anesthesiology (Pain Medicine)
501 20TH ST, SUITE 606
KNOXVILLE, TN 37916
Knox County (865) 546-8040
ABNER MICHAEL GLOVER M.D.
Colon & Rectal Surgery
501 20TH ST, SUITE 501
KNOXVILLE, TN 37916
Knox County (865) 525-4109
MICHELLE L PALMER CRNA
Nurse Anesthetist, Certified Registered
501 20TH ST, SUITE 606
KNOXVILLE, TN 37916
Knox County (865) 546-8040
KRISTIN BURNETTE FNP
Nurse Practitioner (Family)
501 20TH ST, SUITE 404
KNOXVILLE, TN 37916
Knox County (865) 522-6964
ELIZABETH STEVENS CRNA
Nurse Anesthetist, Certified Registered
501 20TH ST, SUITE 606
KNOXVILLE, TN 37916
Knox County (865) 546-8040
GREGORY WILLIAM HAGOPIAN CRNA
Nurse Anesthetist, Certified Registered
501 20TH ST, SUITE 606
KNOXVILLE, TN 37916
Knox County (865) 546-8040
WANDA WHITE CRNA
Nurse Anesthetist, Certified Registered
501 20TH ST, SUITE 606
KNOXVILLE, TN 37916
Knox County (865) 546-8040
MARK S MUMFORD MD
Anesthesiology
501 20TH ST
KNOXVILLE, TN 37916
Knox County (865) 546-8040

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 Kelly Rouse's NPI number?

The NPI number for Kelly Rouse is 1689610230. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Kelly Rouse located?

Kelly Rouse practices at 501 20th St Suite 503, Knoxville, TN 37916. The listed phone number is (865) 541-1750.

What is Kelly Rouse's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelly Rouse enrolled in Medicare?

Yes. Kelly Rouse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Rouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Rouse reassigns Medicare benefits to 9 organizations: Summit Medical Group, PLLC (Knoxville, TN), Emergency Coverage, LLC (Newport, TN), Memorial Health Partners Foundation, Inc (Chattanooga, TN), App Of Tennessee Hm, PLLC (Shelbyville, TN), Hospitalist Medicine Physicians Of Ohio-Columbus II Professional Corp (Chillicothe, OH) and 4 more organizations, listed in the Medicare section above. 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 Kelly Rouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Rouse was last updated on August 26, 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.