Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alisa Khomutova, MD

Individual provider Surgery Physician · NPI 1659908960

Alisa Khomutova, MD is a General Surgery in Knoxville, Tennessee. Graduated from Oakland Univ, William Beaumont School of Medicine in 2020, 6 years ago. Practices with University Health System, Inc, a 529-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Trained at
Oakland Univ, William Beaumont School of Medicine
Licensed in
TN
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone: (818) 523-6550
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Hsc Level 19 Room 030, Stony Brook, NY 11794-0001 — (631) 444-1791

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 73554 (TN)

Record details

NPI number1659908960
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 25, 2020
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice University Health System, Inc. — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Knoxville