Dr. Ketan S. Hira
- Gender: Male
- Experience: 21 years
- Graduated from: Oklahoma State University College Of Osteopathic Medicine
- Graduation year: 2000
- Sole propriator: No
- NPI: 1346285608
Dr. Ketan S. Hira DO
Internist
He is located at 9333 Park West Boulevard in Knoxville, TN 37923. Can help patients with the following: Acute Pain, Bladder Control, Constipation, Edema, Hot Flashes, Urinary Tract Infection (UTI). His National Provider Identifier (NPI) number is 1346285608. Appointment can be made via the phone number (865) 531-4600. He is affiliated with 4 practices and 2 hospitals.
Conditions treated
Dr. Ketan S. Hira, being an internist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Ketan S. Hira.
- Abdominal Pain
- Acute Pain
- Anemia
- Arthritis
- Asthma
- Atherosclerosis
- Bladder Control
- Chest Pain
- Cholecystitis
- Chronic Obstructive Pulmonary Disease (COPD)
- Common Cold
- Constipation
- Cystitis
- Diarrhea
- Edema
- Fever
- Gastroesophageal Reflux Disease (GERD)
- General Care
- Headache
- Heart Disease
- Hiatal Hernia
- High Blood Pressure
- Hot Flashes
- Hyperlipidemia
- Hyponatremia
- Influenza
- Inguinal Hernia
- Migraine
- Nausea and Vomiting
- Obesity
- Osteoporosis
- Peptic Ulcer
- Prescription Refill
- Urethritis
- Urinary Tract Infection (UTI)
Procedures Performed by Dr. Ketan S. Hira
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Ketan S. Hira as in-network for the following 2026 plans.
Health plans
Alliant Health Plans, Inc.
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 9 plans from Alliant Health Plans, Inc.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| SoloCare Bronze EPO $8500 DED HSA 10004 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| SoloCare Exp Bronze EPO $9500 DED 10015 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| SoloCare Gold EPO $1500 DED 10010 | EPO · Gold | Preferred | Accepting new patients |
| SoloCare Silver EPO $5000 DED 10014 | EPO · Silver | Preferred | Accepting new patients |
| SoloCare Silver EPO $6500 DED 10013 | EPO · Silver | Preferred | Accepting new patients |
| SoloCare Standard Exp Bronze EPO $7500 DED 10008 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| SoloCare Standard Gold EPO $2000 DED 10006 | EPO · Gold | Preferred | Accepting new patients |
| SoloCare Standard Platinum EPO $0 DED 10005 | EPO · Platinum | Preferred | Accepting new patients |
| SoloCare Standard Silver EPO $6000 DED 10007 | EPO · Silver | Preferred | Accepting new patients |
BlueCross BlueShield of Tennessee
Network data as of Aug 25, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health® (8 plan variants) | EPO · Expanded Bronze | Blue Network S | Accepting new patients |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health ® (8 plan variants) | EPO · Gold | Blue Network S | Accepting new patients |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health® (8 plan variants) | EPO · Silver | Blue Network S | Accepting new patients |
Cigna Healthcare
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 10 plans from Cigna Healthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Connect Bronze 7500 Indiv Med Deductible | EPO · Bronze | Preferred | Accepting new patients |
| Connect Bronze 8500 Indiv Med Deductible | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze CMS Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Gold 1500 Indiv Med Deductible | EPO · Gold | Preferred | Accepting new patients |
| Connect Gold CMS Standard | EPO · Gold | Preferred | Accepting new patients |
| Connect myDiabetesCare Bronze | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect myDiabetesCare Silver | EPO · Silver | Preferred | Accepting new patients |
| Connect Silver 3000 Indiv Med Deductible | EPO · Silver | Preferred | Accepting new patients |
| Connect Silver 4500 Indiv Med Deductible | EPO · Silver | Preferred | Accepting new patients |
| Connect Silver CMS Standard | EPO · Silver | Preferred | Accepting new patients |
Oscar Insurance Company
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 15 plans from Oscar Insurance Company
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Classic Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Elite + PCP Saver Plus | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Chronic Care CKM | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Diabetes | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Gold Classic Standard | EPO · Gold | Preferred | Accepting new patients |
| Gold Elite | EPO · Gold | Preferred | Accepting new patients |
| Silver Classic | EPO · Silver | Preferred | Accepting new patients |
| Silver Classic Standard | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Chronic Care CKM | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Diabetes | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple PCP Saver | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Women's Health with Menopause Benefits | EPO · Silver | Preferred | Accepting new patients |
UnitedHealthcare
Network data as of Sep 16, 2026, as reported by the insurer.
Show all 12 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) | EPO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals) | EPO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential (No Referrals) | EPO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard (No Referrals) | EPO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage (Virtual Urgent Care, No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus (Virtual Urgent Care, No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard (No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Advantage (Virtual Urgent Care, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Copay Focus (Virtual Urgent Care, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard (No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Ketan S. Hira is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Ketan S. Hira is enrolled to bill Medicare as a Practitioner - Internal Medicine .
Bills through: Summit Medical Group, Pllc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Janssen | $1910 |
| Pfizer | $1119 |
| Amgen | $777 |
Other
| Food and Beverage | $9565 |
| Travel and Lodging | $15 |
Studies
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated in 2000Affiliated practices
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Questions & Answers
Does Dr. Ketan S. Hira accept patients with BlueCross BlueShield of Tennessee?
Yes, Dr. Ketan S. Hira is listed in-network for BlueCross BlueShield of Tennessee through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
Does Dr. Ketan S. Hira have affiliation with practices?
Dr. Ketan S. Hira is affiliated with Greeneville Family Medicine. For the full list of practices see this list.
Has Dr. Ketan S. Hira affiliation with hospitals?
Dr. Ketan S. Hira is affiliated with FORT SANDERS REGIONAL MEDICAL CENTER. For the full list of hospitals see this list.
Where can you meet with Dr. Ketan S. Hira?
Dr. Ketan S. Hira's office is located at 9333 Park West Boulevard in Knoxville, TN 37923.
What conditions does Dr. Ketan S. Hira treat?
Dr. Ketan S. Hira provides treatment for Acute Pain, Bladder Control, Constipation, Edema, Hot Flashes, Urinary Tract Infection (UTI). For the full list see this list.