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JAMES D ALBERTA M.D.
NPI 1922037258
Internal Medicine in Chattanooga, TN

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
MEDICAL TOWERS BUILDING, 1000 EAST THIRD STREET, SUITE 205, CHATTANOOGA, TN 37403(215) 785-9200 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James D Alberta M.d. NPPES

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

JAMES D ALBERTA M.D. (NPI 1922037258) is an individual internal medicine provider in Chattanooga, Tennessee, licensed in Tennessee (44927) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1922037258
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES D ALBERTACredential: M.D.
Location AddressMEDICAL TOWERS BUILDING, 1000 EAST THIRD STREET, SUITE 205Chattanooga, TN 37403-0000
Mailing AddressPo Box 339Signal Mountain, TN 37377-0339 · (423) 401-6355 · Fax (423) 886-1865
Phone(215) 785-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 30, 2006
Last NPPES UpdateOctober 13, 2020
NPPES CertifiedSeptember 30, 2020
✔ NPI 1922037258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TN · 44927✔ Licensed in NJ · 25MA07800000
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.
MEDICAL TOWERS BUILDING, 1000 EAST THIRD STREET, Chattanooga, TN 37403
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Other Identifiers 3

Medicaid0059668NJ
Medicaid102295517 0001-LOWERPA
Medicaid102295517 0001-BUCKSPA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

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

James D Alberta M.d. 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.

PECOS PAC ID6709836919
PECOS Enrollment IDI20090625000688
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 James Alberta reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Restoration Recovery, PLLC
6.9 mi
Addiction Medicine
6141 SHALLOWFORD RD STE 100
Chattanooga, TN 37421
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 clinicians in this Medicare group
NPI 1770011652 (423) 498-2000
Rhea Medical Center
38 mi
Critical Access
9400 RHEA COUNTY HWY
Dayton, TN 37321
  • Reassigned Medicare billing, Tennessee enrollment
  • 41 clinicians in this Medicare group
NPI 1811987084 (423) 775-1121
App Of Tennessee Hm, PLLC
74 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
Apogee Medical Group, Tennessee, P.C.
116 mi
General Practice
1607 S LOCUST AVE
Lawrenceburg, TN 38464
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Apogee Medical Group Tennessee PC
  • 146 clinicians in this Medicare group
NPI 1578717682 (931) 766-3179
Ipc Pac Healthcare Services Of Tennessee PC
201 mi
Internal Medicine
1 MEDICAL PARK BLVD
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee enrollment
  • 230 clinicians in this Medicare group
NPI 1104277656 (423) 844-1121
Bh Services Southeast 1 PC
226 mi
Nurse Practitioner
2565 N WASHINGTON AVE
Brownsville, TN 38012
  • Reassigned Medicare billing, Tennessee enrollment
  • 129 clinicians in this Medicare group
NPI 1164251526 (731) 772-4199
Cs Pacs 3 Southeast, LLC
274 mi
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Tennessee enrollment
  • 227 clinicians in this Medicare group
NPI 1154104958 (304) 327-2485
South Central Physicians PLLC
951 mi
Hospitalist
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Tennessee enrollment
  • 93 clinicians in this Medicare group
NPI 1427611854 (888) 264-0330
Nv Pacs 2 LLC
1,685 mi
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Tennessee enrollment
  • 253 clinicians in this Medicare group
NPI 1427534809 (865) 693-1000

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
154 services83 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
66 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services36 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
38 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440144
Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County
Emergency services Birthing friendly

Rhea Medical Center

Critical Access Hospitals · Dayton, TN
OwnershipGovernment - Local
CMS Certification Number441310
Location9400 Rhea County HighwayDayton, TN 37321 · Rhea County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers37 claims38 services$18.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers37 claims38 services$98.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 James Alberta's NPI number?

The NPI number for James Alberta is 1922037258. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is James Alberta located?

James Alberta practices at Medical Towers Building, 1000 East Third Street Suite 205, Chattanooga, TN 37403. The listed phone number is (215) 785-9200.

What is James Alberta's specialty?

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

Is James Alberta enrolled in Medicare?

Yes. James Alberta 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 James Alberta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Alberta reassigns Medicare benefits to 9 organizations: Restoration Recovery, PLLC (Chattanooga, TN), Rhea Medical Center (Dayton, TN), App Of Tennessee Hm, PLLC (Shelbyville, TN), Apogee Medical Group, Tennessee, P.C. (Lawrenceburg, TN), Ipc Pac Healthcare Services Of Tennessee PC (Bristol, TN) 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 James Alberta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Alberta accept?

Health plans from Oscar Insurance Company list James Alberta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Alberta affiliated with any hospitals?

According to CMS data, James Alberta is affiliated with Memorial Healthcare System, Inc, Vanderbilt Tullahoma-Harton Hospital and Rhea Medical Center.

When was this NPI record last updated?

The NPPES record for James Alberta was last updated on October 13, 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.