NPIMap

Organization Active NPI

Methodist Healthcare - Memphis Hospitals

  • Cardiovascular Disease Physician
  • Memphis, TN
National Provider Identifier
1043202088
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
METHODIST HEALTHCARE - MEMPHIS HOSPITALS
Practice address
1265 Union Ave
Memphis, TN 38104-3415
Phone
(901) 291-2427
NPI assigned
Aug 16, 2005
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Chuck Lane
Title
SVP/Chief Financial Officer
Phone
(901) 478-0525

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X

Addresses

Primary practice location

1265 Union Ave
Memphis, TN 38104-3415

Mailing address

PO Box 341536
Bartlett, TN 38184-1536
Phone (901) 291-2400

Other identifiers 1

IdentifierTypeStateIssuer
CB1308OtherTNRR MEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031217000501 TN Part B Supplier - Clinic/Group Practice 1355248394 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Memphis, TN

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Methodist Healthcare Memp12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1265 Union Ave
#8E
Memphis, TN 38104
Phone (901) 726-0999

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital of Memphis, a Partner of MethMemphis, TN, CCN 443029 Hospital Limited Partnership Interest (50%) Dec 31, 2021
Encompass Health Rehabilitation Hospital of North Memphis, a Partner OMemphis, TN, CCN 443031 Hospital Limited Partnership Interest (50%) Feb 26, 1992

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 113

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1043202088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341536",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381841536",
            "telephone_number": "901-291-2400",
            "fax_number": "901-379-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043415",
            "telephone_number": "901-291-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HEALTHCARE - MEMPHIS HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "SVP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "901-478-0525"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "CB1308",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.