Active NPI
Khawaja Muhammad Muddassir, MD
- Pulmonary Disease Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 52180
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Methodist Hospitals of Memphis
- Baptist Memorial Hospital Desoto
- Select Specialty Hospital Memphis
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.74 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.71 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A108371 | CA | MD | Internal Medicine Physician |
| 52180 | TN | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Healthcare Hospitalists Inc | Current | Accepting new patients | |
| Memphis Lung Physicians Foundation, Inc. | Critical Care Medicine | Current | Accepting new patients |
| West Tennessee Medical Group Inc | Internal Medicine | Current | 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
- 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.
-
- Pulmonary Disease Physician
- Germantown, TN
- NPI 1811279656
Critical Care Medicine, MS
-
- Hospitalist Physician
- Jackson, TN
- NPI 1720635188
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
-
- Pulmonary Disease Physician
- Memphis, TN
- NPI 1053340166
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- Long Term Care Hospital
- Memphis, TN
- NPI 1780684423
Long-term care hospital
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.