Ensemble Medical PLLC
NPI 1821523101ActiveOrganization· Internal Medicine· Knoxville, TN
Internal Medicine in Knoxville, Tennessee, registered in NPPES in April 2017. The authorized official on file is Deaver T. Shattuck, M.D., President.
Overview
| NPI | 1821523101 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2017 |
| Last updated in NPPES | Jun 20, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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