Tennessee Innovative Medical Services PLLC
NPI 1114285400ActiveOrganization· Radiology, Vascular & Interventional Radiology· Knoxville, TN
Radiology, Vascular & Interventional Radiology in Knoxville, Tennessee, registered in NPPES in April 2012. The authorized official on file is Jason G. Funderburk, MD, Sole Owner.
Overview
| NPI | 1114285400 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2012 |
| Last updated in NPPES | Jul 2, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Vascular & Interventional Radiology Primary | 2085R0204X | — | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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