Active NPI
Tanweer A Memon, M.D.
- Internal Medicine Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0074367
- Practice address
- 2852 Tamiami TRL Ste 5
Port Charlotte, FL 33952-5100 - Phone
- (941) 625-9494
- Fax
- (941) 743-8562
- NPI assigned
- Aug 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0074367 | FL | Primary |
Addresses
Primary practice location
2852 Tamiami TRL Ste 5
Port Charlotte, FL 33952-5100
Mailing address
2852 Tamiami TRL Ste 5
Port Charlotte, FL 33952-5100
Phone (941) 625-9494
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117689400 | Medicaid | FL | |
| 5236702 | Other | FL | AETNA |
| 258993100 | Medicaid | FL | |
| 42648 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2852 Tamiami TRL
Suite 5
Port Charlotte, FL 33952-5100
Phone (941) 625-9494
Hospital & facility affiliations
- Amedisys Home Health
- Coastal Breeze Home Health LLC
- Haven Home Health Care
- Adventhealth Port Charlotte
- Desoto Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 27 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0074367 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanweer Memon MD PA | Internal Medicine | Current | Accepting new patients |
Locations
14243 Tamiami Trl
North Port, FL 34287
Phone (941) 429-3180
2091 Tamiami Trl
Pt Charlotte, FL 33948
Phone (941) 625-9494
2852 Tamiami Trl
Ste 5
Pt Charlotte, FL 33952
Phone (941) 625-4442
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AIABBA/Endpoint/AIABBA
- https://fhir4.healow.com/fhir/r4/AIABBA
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Port Charlotte, FL
- NPI 1841216421
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
- Home Health Agency
- Punta Gorda, FL
- NPI 1740867654
-
- Rural Acute Care Hospital
- Arcadia, FL
- NPI 1528387842
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1043392038
-
- Home Health Agency
- Venice, FL
- NPI 1518429166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1053304774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2852 TAMIAMI TRL STE 5",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525100",
"telephone_number": "941-625-9494",
"fax_number": "941-743-8562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2852 TAMIAMI TRL STE 5",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525100",
"telephone_number": "941-625-9494",
"fax_number": "941-743-8562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEMON",
"first_name": "TANWEER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-28",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0074367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117689400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5236702",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258993100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "42648",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.