DR. PERICLIS ROUSSIS (M.D.) – Maternal & Fetal Medicine Physician, NPI 1023013307

DR. PERICLIS ROUSSIS (M.D.) is a healthcare provider. based in Knoxville, Tennessee. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. MD18681 (TN). The NPI Number for DR. PERICLIS ROUSSIS (M.D.) is 1023013307

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. PERICLIS ROUSSIS (M.D.)
NPI
1023013307
Phone
(865) 331-2020
Address
501 19TH ST.
Enumeration Date
14 June 2005
Last Update Date
26 April 2017

Doctor Profile

Medical School Name
UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
Secondary Phone
8655412020
Graduation Year
1982 (44 years ago)
PAC ID
1850586728
Group Practice PAC ID
3577505536
Professional Enrollment ID
I20101117000932
Address ID
TN379161831KN501XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

897 OBSTETRICS/GYNECOLOGY in TN

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Provider Addresses for DR. PERICLIS ROUSSIS (M.D.)

  • 19th Street, Fort Sanders, Knoxville, Knox County, Tennessee, 37916, United States

    SUITE 401

    KNOXVILLE, TN 379161839

    Phone: (865) 331-2020

    Fax: (865) 331-2019

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2023-04-18 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($124).

Total Amount

$124

General + Research + Ownership

Payments

1

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101117000932IObstetrics/GynecologyTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37916)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577505536View full group profile
NameSpecialtyState
Nurse PractitionerVI
O B S T E T R I C S/ G Y N E C O L O G YTN
Nurse PractitionerTN
Nurse PractitionerTN
O B S T E T R I C S/ G Y N E C O L O G YTN
Nurse PractitionerTN
Certified Nurse Midwife (Cnm)TN
O B S T E T R I C S/ G Y N E C O L O G YTX
Nurse PractitionerTN
O B S T E T R I C S/ G Y N E C O L O G YMO

Reviews

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Frequently asked questions

What unique ID ties claims to DR. PERICLIS ROUSSIS (M.D.)?
NPI 1023013307 is assigned to DR. PERICLIS ROUSSIS (M.D.) under the national enumeration system.
Is DR. PERICLIS ROUSSIS (M.D.) currently active in the NPI registry?
CMS-published data lists DR. PERICLIS ROUSSIS (M.D.) as an active registrant.
Can you summarize DR. PERICLIS ROUSSIS (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. PERICLIS ROUSSIS (M.D.) with Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. PERICLIS ROUSSIS (M.D.)?
The page summarizes Knoxville, Tennessee for DR. PERICLIS ROUSSIS (M.D.); expand the address list for detail.
Is DR. PERICLIS ROUSSIS (M.D.) a real provider?
This page reflects official NPPES data for NPI 1023013307. Always confirm identity and privileges with the practice and licensing boards.

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