UT INTERNAL MEDICINE PELLISSIPPI
NPI 1790738763
Internal Medicine in Knoxville, TN
About Ut Internal Medicine Pellissippi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UT INTERNAL MEDICINE PELLISSIPPI (NPI 1790738763) is a healthcare organization registered as an internal medicine in Knoxville, Tennessee and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through March 9, 2028 and lists Beth A Maynard, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ut Internal Medicine Pellissippi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
829Medicare enrollment records show 829 clinicians reassign Medicare billing to Ut Internal Medicine Pellissippi, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 534 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 48
Nearest to this location (20)
See all 829Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D1051773
Ut Internal Medicine Pellissippi · Knoxville, TNFrequently 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 University Health System, Inc's NPI number?
The NPI number for University Health System, Inc is 1790738763. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Ut Internal Medicine Pellissippi.
Where is University Health System, Inc located?
University Health System, Inc is located at 9625 Kroger Park Dr Ste 450, Knoxville, TN 37922. The listed phone number is (865) 690-2992.
What is University Health System, Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is University Health System, Inc enrolled in Medicare?
Yes. University Health System, Inc is registered in the Medicare PECOS enrollment system.
When is University Health System, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through University Health System, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 829 clinicians in 48 Medicare specialties reassign their Medicare billing to University Health System, 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 Nurse Practitioner (289), Internal Medicine (79) and Family Practice (61). Of these, 5 practice at this address and 534 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does University Health System, Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D1051773) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for University Health System, Inc was last updated on June 5, 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.
# Ut Internal Medicine Pellissippi · NPI 1790738763
Internal Medicine organization in Knoxville, Tennessee. Organization record, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1790738763 (Entity type: Organization)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** University Health System, Inc
- **Organization subpart:** No
- **Authorized official:** Beth Maynard, VICE PRESIDENT
## Practice location
- **Address:** 9625 KROGER PARK DR, STE 450, Knoxville, TN 37922-5880
- **Phone:** (865) 690-2992 · **Fax:** (865) 690-2993
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Tennessee, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 829 clinicians in 48 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (289), Internal Medicine (79), Family Practice (61); 5 practice at this address and 534 within 10 miles; [full list](https://npiprofile.com/npi/1790738763/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2020
- **Other identifiers:** Medicaid 3285144 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790738763) · Data from the CMS NPPES public registry.