Individual provider Active NPI

Khawaja Muhammad Muddassir, MD

  • Pulmonary Disease Physician
  • Memphis, TN
National Provider Identifier
1003043043
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
52180 Issued in TN
Practice address
1325 Eastmoreland Ave
Suite 370
Memphis, TN 38104-3519
Phone
(901) 758-7888
Fax
(901) 387-5153
NPI assigned
Jun 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A108371 CA
Pulmonary Disease Physician 207RP1001X 52180 TN Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 52180 TN
Internal Medicine Physician 207R00000X 52180 TN

Addresses

Primary practice location

1325 Eastmoreland Ave
Suite 370
Memphis, TN 38104-3519

Mailing address

PO Box 1000
Dept 457
Memphis, TN 38148-0001
Phone (901) 758-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180817002452 TN Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 7214082072 Reassigns benefits to 3 organizations
Practice locations: Memphis, TN
I20220223002146 MS Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7214082072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Lung Physicians Foundation, Inc.Group PAC ID 4981876307, 57 clinicians
West Tennessee Healthcare Hospitalists IncGroup PAC ID 1951735521, 98 clinicians

Practice addresses (Care Compare)

2120 Exeter Rd
Suite 250
Germantown, TN 38138-3931

363 Southcrest Cir
Southaven, MS 38671-4737

5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-1000

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 701-5825

6019 Walnut Grove Rd 4
Memphis, TN 38120-2113
Phone (901) 226-0732

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-4923

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2980

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • Select Specialty Hospital Memphis Long-term care hospital, Memphis, TN, CCN 442014

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.71 of 100Reported as group
Quality
71.4
Promoting interoperability
100
Improvement activities
40
Cost
72.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A108371CAMDInternal Medicine Physician
52180TNMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Healthcare Hospitalists Inc CurrentSince Oct 1, 2021 Accepting new patients
Memphis Lung Physicians Foundation, Inc. Critical Care Medicine CurrentSince Nov 1, 2021 Accepting new patients
West Tennessee Medical Group Inc Internal Medicine CurrentSince Dec 12, 2023 Accepting new patients
Memphis Lung Physicians, P.C. Pulmonary Disease Past Accepting new patients

Locations

401 Southcrest Cir
Ste 212
Southaven, MS 38671
Phone (662) 245-5270

363 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 349-0488

1500 W Poplar Ave
Ste 309
Collierville, TN 38017
Phone (901) 767-5864

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

2120 Exeter Rd
Ste 250
Memphis, TN 38138
Phone (901) 767-5864

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

Networks

  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • TN PPO
  • AL HMO D-SNP
  • AL HMO
  • MS PPO
  • KY PPO
  • MS PPO D-SNP
  • TN PPO C-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • MS PPO C-SNP
  • KY PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: kmuddassir28669@mlh.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1003043043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT 457",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-758-7888",
            "fax_number": "901-387-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE",
            "address_2": "SUITE 370",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043519",
            "telephone_number": "901-758-7888",
            "fax_number": "901-387-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDDASSIR",
        "first_name": "KHAWAJA",
        "middle_name": "MUHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A108371",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "52180",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "52180",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "52180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.