Homayoun Reza Ahmadian, D.O.
Individual provider Active NPI Cardiovascular Disease Physician · Germantown, TN
NPI 1003070129 · NPPES record last updated Jun 12, 2025
Key facts
- NPI
- 1003070129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 3601 (TN)
- Practice address
- 8060 Wolf River Blvd
Germantown, TN 38138-1727 - Phone
- (901) 271-1000
- Fax
- (901) 271-4187
- NPI assigned
- Jul 17, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Baptist Memorial Hospital
Stern Cardiovascular Center, PA
Stern Cardiovascular Foundation, Inc
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
- Baptist Memorial Hospital
- Methodist Hospitals of Memphis
- Baptist Memorial Hospital Desoto
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 99.92
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190307001924 | MS | Practitioner - Cardiovascular Disease (Cardiology) | 7416112560 | Reassigns benefits to 2 organizations |
| I20190319001406 | TN | Practitioner - Cardiovascular Disease (Cardiology) | 7416112560 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003643A | IN | MD | Cardiovascular Disease Physician |
| 3601 | TN | MD | Occupational Therapy Assistant |
Practice roles (4 of 16)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Hospital | Current |
Accepting new patients | |
| Stern Cardiovascular Center, PA | Cardiovascular Disease | Current |
Accepting new patients |
| Baptist Memorial Hospital | Current |
Accepting new patients | |
| Stern Cardiovascular Foundation, Inc | Cardiovascular Disease | Current |
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
Ste 302
Collierville, TN 38017
Phone (901) 747-3330
1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140
6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
8060 Wolf River Blvd
Memphis, TN 38138
Phone (901) 271-2272
Networks
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- MS PPO C-SNP
- TN PPO C-SNP
- KY PPO
- AL HMO D-SNP
- TN PPO
- MS PPO D-SNP
- MS PPO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- KY PPO C-SNP
- AL HMO
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
Interoperability endpoints
- hahmadian26470@mlh.direct-ci.com
- homayounahmadian@stern.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
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
Other providers in Germantown, TN
- Agano Home Care LLC
- Ageless Women'S Health TN LLC
- Agilitas USA, Inc
- Agilitas USA, Inc
- Agilitas USA, Inc
- Aileen Gayoso, MD, PLLC
- Steven L Akins
- Zaher Al-Shallah
- William E Albers
- Lauren Davis Albertine
All providers in Germantown, TN · Cardiovascular Disease Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.