Individual provider Active NPI

Shoaib Azam, M.D.

  • Gastroenterology Physician
  • Bartlett, TN
National Provider Identifier
1043694490
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
67298 Issued in TN
Practice address
3350 N Germantown Rd
Bartlett, TN 38133-4026
Phone
(901) 377-2111
NPI assigned
Jul 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 67298 TN Primary

Addresses

Primary practice location

3350 N Germantown Rd
Bartlett, TN 38133-4026

Mailing address

PO Box 381468
Germantown, TN 38183-1468

Other practice location 1

1325 Eastmoreland Ave Ste 410
Memphis, TN 38104-7540
Phone (901) 261-6650

Other identifiers 2

IdentifierTypeStateIssuer
Q084812MedicaidTN
200006251MedicaidMS

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
I20230711002448 TN Practitioner - Gastroenterology 1850750688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

1325 Eastmoreland Ave
Suite 410
Memphis, TN 38104-7540
Phone (901) 261-6650

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy271
Upper gastrointestinal (GI) endoscopy for acid reflux291

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Center of the Midsouth PLLC Gastroenterology CurrentSince Jul 1, 2023 Accepting new patients
G I Diagnostic and Therapeutic Center LLC Gastroenterology Current Accepting new patients

Locations

Gastro Onegovt Arhcl
New York, NY 10087

3350 N Germantown Rd
Bartlett, TN 38133
Phone (901) 377-2111

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650

Interoperability endpoints

  • Direct secure messaging: sazam32615@mlh.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1043694490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 N GERMANTOWN RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334026",
            "telephone_number": "901-377-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Eastmoreland Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381047540",
            "country_code": "US",
            "telephone_number": "901-261-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZAM",
        "first_name": "SHOAIB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "67298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q084812",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006251",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.