Individual provider Active NPI

Johanna Reyna Rosales-Chavez, DO

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1023657459
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6174 Issued in TN
Practice address
3481 Austin Peay Hwy
Memphis, TN 38128-3801
Phone
(901) 842-3165
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 6174 TN
Internal Medicine Physician 207R00000X 6174 TN Primary

Addresses

Primary practice location

3481 Austin Peay Hwy
Memphis, TN 38128-3801

Mailing address

4993 Lynbar Ave
Memphis, TN 38117-2029
Phone (205) 876-5288

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Athena FOLEY CLINIC CORP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250919002966 TN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5193134625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Alabama College of Osteopathic Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2670 Union Ave Ext
Suite 1000
Memphis, TN 38112-4416

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services Inc CurrentSince Aug 1, 2025 Accepting new patients
Christ Community Health Services Inc CurrentSince Aug 1, 2025 Accepting new patients
Christ Community Health Services, Inc. Past Accepting new patients
Christ Community Health Services Inc Past Accepting new patients
Christ Community Health Services Inc Past Accepting new patients
Christ Community Health Services Inc Past Accepting new patients
Christ Community Health Services, Inc Past Accepting new patients
Christ Community Health Services, Inc Past Accepting new patients
Christ Community Health Services, Inc Past Accepting new patients

Locations

969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400

3481 Austin Peay Hwy
Memphis, TN 38128
Phone (901) 701-2570

2670 Union Avenue Ext
Ste 1000
Memphis, TN 38112
Phone (901) 842-3160

Networks

  • MS PPO C-SNP
  • MS PPO D-SNP
  • MS PPO

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCIAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJJDAA

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1023657459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4993 LYNBAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381172029",
            "telephone_number": "205-876-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 AUSTIN PEAY HWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381283801",
            "telephone_number": "901-842-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES-CHAVEZ",
        "first_name": "JOHANNA",
        "middle_name": "REYNA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "6174",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "6174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "Y",
            "affiliationName": "FOLEY CLINIC CORP",
            "address_1": "1615 N Alston St",
            "city": "Foley",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365352208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.