Mid-South Vascular Physicians PLLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

MID-SOUTH VASCULAR PHYSICIANS PLLC

Practice address

6584 Poplar Ave Ste 102
Memphis, TN 38138-0620

Phone

(901) 519-4690

Fax

(901) 519-4691

NPI assigned

May 6, 2024

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Salil Sudhir Joshi, M.D.NPI 1558329169

Title

Owner/Physician

Phone

(901) 519-4690

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Salil S Joshi, MD

  • Vascular & Interventional Radiology Physician
  • Memphis, TN
  • NPI 1558329169
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren D Albertine, APRN

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1124658380
  Medicare reassignment Care Compare group NPD
• Jennifer P. O'Dell, ACNP, BC

  • Acute Care Nurse Practitioner
  • Memphis, TN
  • NPI 1720295660
  Medicare reassignment Care Compare group NPD
• Jorge A Salazar, MD

  • Vascular & Interventional Radiology Physician
  • Memphis, TN
  • NPI 1336106681
  Medicare reassignment Care Compare group NPD
• Shelley F Hood, CRNA

  • Certified Registered Nurse Anesthetist
  • Memphis, TN
  • NPI 1548269517
  Medicare reassignment NPD
• Tiffany Shannon Ray, CRNA

  • Certified Registered Nurse Anesthetist
  • Horn Lake, MS
  • NPI 1114097615

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1073360061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6584 POPLAR AVE STE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381380620",
            "telephone_number": "901-519-4690",
            "fax_number": "901-519-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6584 POPLAR AVE STE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381380620",
            "telephone_number": "901-519-4690",
            "fax_number": "901-519-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH VASCULAR PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "SALIL",
        "authorized_official_middle_name": "SUDHIR",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "901-519-4690",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548269517",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114097615",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558329169",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720295660",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124658380",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336106681",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Vascular & Interventional Radiology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Vascular & Interventional Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.