Individual provider Active NPI

Homayoun Reza Ahmadian, D.O.

  • Cardiovascular Disease Physician
  • Germantown, TN
National Provider Identifier
1003070129
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
3601 Issued in TN
Practice address
8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone
(901) 271-1000
Fax
(901) 271-4187
NPI assigned
Jul 17, 2008
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Q4002 TX
Cardiovascular Disease Physician 207RC0000X 02003643A IN
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 3601 TN Primary

Addresses

Primary practice location

8060 Wolf River Blvd
Germantown, TN 38138-1727

Mailing address

63 Volterra
San Antonio, TX 78258-1612
Phone (901) 605-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 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
I20190307001924 MS Practitioner - Cardiovascular Disease (Cardiology) 7416112560 Reassigns benefits to 2 organizations
I20190319001406 TN Practitioner - Cardiovascular Disease (Cardiology) 7416112560 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Baptist Memorial HospitalGroup PAC ID 6305739475, 9 clinicians
Stern Cardiovascular Center, PAGroup PAC ID 2860390275, 126 clinicians
Stern Cardiovascular Foundation, IncGroup PAC ID 8123200540, 111 clinicians

Practice addresses (Care Compare)

1785 Nonconnah Blvd
Memphis, TN 38132-2139
Phone (901) 344-0101

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

7362 Southcrest Pkwy
Southaven, MS 38671-4773
Phone (901) 271-1000

8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.92
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02003643AINMDCardiovascular Disease Physician
Q4002TXMDCardiovascular Disease Physician
3601TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital CurrentSince Mar 4, 2020 Accepting new patients
Stern Cardiovascular Foundation, Inc Cardiovascular Disease CurrentSince Feb 4, 2019 Accepting new patients
Baptist Memorial Hospital CurrentSince Mar 4, 2020 Accepting new patients
Stern Cardiovascular Center, PA Cardiovascular Disease CurrentSince Dec 1, 2025 Accepting new patients

Locations

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

100 Baptist Memorial Cir
Ste 201
Oxford, MS 38655
Phone (662) 574-5293

7362 Southcrest Pkwy
Southaven, MS 38671
Phone 90127110002272

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

1500 W Poplar Ave
Ste 302
Collierville, TN 38017
Phone (901) 747-3330

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

6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727

8060 Wolf River Blvd
Memphis, TN 38138
Phone (901) 271-2272

Networks

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

Interoperability endpoints

  • Direct secure messaging: hahmadian26470@mlh.direct-ci.com
  • Direct secure messaging: homayounahmadian@stern.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1003070129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 VOLTERRA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782581612",
            "telephone_number": "901-605-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381727",
            "telephone_number": "901-271-1000",
            "fax_number": "901-271-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADIAN",
        "first_name": "HOMAYOUN",
        "middle_name": "REZA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "Q4002",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "02003643A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "3601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.