Active NPI
Usman Yusuf, MD
- Pediatric Hematology & Oncology Physician
- Memphis, TN
National Provider Identifier
1073516639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 36807
- Practice address
- St. Jude Children'S Research Hospital
332 N Lauderdale St., Ms 0515
Memphis, TN 38105-2794 - Phone
- (901) 495-3006
- Fax
- (901) 495-3842
- NPI assigned
- May 27, 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 |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 36807 | TN | Primary |
Addresses
Primary practice location
St. Jude Children'S Research Hospital
332 N Lauderdale St., Ms 0515
Memphis, TN 38105-2794
Mailing address
St. Jude Children'S Research Hospital
332 N Lauderdale St., Ms 0515
Memphis, TN 38105-2794
Phone (901) 495-3006
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00126619 | Medicaid | MS | |
| 274942 | Medicaid | OR | |
| 3496608 | Medicaid | TN | |
| 1136417 | Medicaid | LA | |
| 7613513 | Medicaid | NC | |
| 0571463 | Medicaid | IA | |
| 82557400 | Medicaid | WI | |
| 64057201 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36807 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1073516639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ST. JUDE CHILDREN'S RESEARCH HOSPITAL",
"address_2": "332 N LAUDERDALE ST., MS 0515",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381052794",
"telephone_number": "901-495-3006",
"fax_number": "901-495-3842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST. JUDE CHILDREN'S RESEARCH HOSPITAL",
"address_2": "332 N LAUDERDALE ST., MS 0515",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381052794",
"telephone_number": "901-495-3006",
"fax_number": "901-495-3842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUSUF",
"first_name": "USMAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "TN",
"license": "36807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00126619",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274942",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3496608",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1136417",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7613513",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0571463",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82557400",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64057201",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.