MEDICARE: UNIVERSITY HEALTH SYSTEM, INC.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	156	TN
2	251G00000X	Community Based Hospice Care Agency	389	TN
3	3416A0800X	Air Ambulance	EMS0000009903	TN
4	282N00000X	General Acute Care Hospital	0000000046	TN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3285143	OTHER	TN	CARDIOLOGIST II
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	3285141	OTHER	TN	CARDIOLOGIST
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1538164090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY HEALTH SYSTEM, INC.

Provider Business Mailing Address
First Line	:	9000 EXECUTIVE PARK DR STE D240
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-4689
Country	:	US
Telephone Number	:	865-251-4419
Fax Number	:	865-251-4406

Provider Business Practice Location Address
First Line	:	1924 ALCOA HWY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1511
Country	:	US
Telephone Number	:	865-305-9000
Fax Number	:	865-251-4406

Authorized Official
Title or Position	:	SR VP & CFO
Name	:	BENJAMIN M CUNNINGHAM JR.
Credential	:
Telephone Number	:	865-305-6097

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	02/19/2026

1924 ALCOA HWY # U-67
KNOXVILLE, TN
37920-1511

Practice Phone: 865-305-5055
Practice Fax: