INTERVENTIONAL DIABETES CENTER LLC 4
NPI 1821887944
Podiatrist in Kenton, TN

Q: What is Interventional Diabetes Center LLC 4's NPI number?

The NPI number for Interventional Diabetes Center LLC 4 is 1821887944. It was assigned to this organization in the NPPES registry on May 5, 2025.

Q: What is Interventional Diabetes Center LLC 4's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since May 05, 2025

440 S POPLAR ST, KENTON, TN 38233(901) 791-1711 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2025, May 5, 2025 (2 updates tracked since 2025).

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About Interventional Diabetes Center Llc 4 NPPES

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

INTERVENTIONAL DIABETES CENTER LLC 4 (NPI 1821887944) is a healthcare organization registered as a podiatrist in Kenton, Tennessee and active in the NPI registry since May 2025. The organization lists Maurice Hampton, Owner, as its authorized official.

NPPES Registry Identity

NPI1821887944

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameINTERVENTIONAL DIABETES CENTER LLC 4

Location Address440 S POPLAR STKenton, TN 38233-3622

Mailing Address440 S Poplar StKenton, TN 38233-3622

Phone(901) 791-1711

Organization SubpartNo

Authorized OfficialMaurice HamptonOwner · (901) 791-1711

Enumeration DateMay 5, 2025

Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2025

✔ NPI 1821887944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

Also ListedNurse PractitionerTaxonomy 363L00000X

440 S POPLAR ST, Kenton, TN 38233

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Interventional Diabetes Center Llc 4 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Interventional Diabetes Center LLC 4, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Thomas Caruthers, MD

Obstetrics/Gynecology

NPI 1730138355

629 NUCKOLLS RD
Bolivar, TN 38008

(731) 658-3388

✔ PECOS✔ Accepts Medicare64 mi

Antonio Knowles, DPM

Podiatry

NPI 1124188511

5362 ESTATE OFFICE DR SUITE 1
Memphis, TN 38119

(901) 537-0078

✔ PECOS✔ Accepts Medicare90 mi

Omar Davis, M.D.

Nephrology

NPI 1588767826

2200 UNION AVE
Memphis, TN 38104

(901) 726-1130

✔ PECOS92 mi

Jessica Rispoli

Podiatry

NPI 1053790410

2101 ELM ST N
Fargo, ND 58102

(701) 232-3241

✔ PECOS841 mi

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 Interventional Diabetes Center LLC 4's NPI number?

The NPI number for Interventional Diabetes Center LLC 4 is 1821887944. It was assigned to this organization in the NPPES registry on May 5, 2025.

Where is Interventional Diabetes Center LLC 4 located?

Interventional Diabetes Center LLC 4 is located at 440 S Poplar St, Kenton, TN 38233. The listed phone number is (901) 791-1711.

What is Interventional Diabetes Center LLC 4's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Interventional Diabetes Center LLC 4 enrolled in Medicare?

Yes. Interventional Diabetes Center LLC 4 is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Interventional Diabetes Center LLC 4?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Interventional Diabetes Center LLC 4, in Nephrology, Obstetrics/Gynecology and Podiatry. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Interventional Diabetes Center LLC 4 was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.