Active NPI
Alan Marc Nadel, MD
- Neurology Physician
- Memphis, TN
National Provider Identifier
1073683728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD9510
- Practice address
- 6005 Park Avenue
Ste 804
Memphis, TN 38119 - Phone
- (901) 680-9377
- Fax
- (901) 680-9605
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | MD9510 | TN | |
| Neurology Physician | 2084N0400X | MD9510 | TN | Primary |
Addresses
Primary practice location
6005 Park Avenue
Ste 804
Memphis, TN 38119
Mailing address
6005 Park Avenue
Ste 804
Memphis, TN 38119
Phone (901) 680-9377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106800001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040603001493 | AR | Practitioner - Neurology | 6305828229 | Practice locations: West Memphis, AR |
| I20120525000209 | TN | Practitioner - Neurology | 6305828229 | Practice locations: Memphis, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Pittsburgh School of Medicine, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6005 Park Ave
Suite 804
Memphis, TN 38119-5218
Phone (901) 680-9377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crittenden Cares, Inc | Past | Accepting new patients |
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.
-
- Physiological Laboratory
- West Memphis, AR
- NPI 1952346041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1073683728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 PARK AVENUE",
"address_2": "STE 804",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38119",
"telephone_number": "901-680-9377",
"fax_number": "901-680-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 PARK AVENUE",
"address_2": "STE 804",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38119",
"telephone_number": "901-680-9377",
"fax_number": "901-680-9605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADEL",
"first_name": "ALAN",
"middle_name": "MARC",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "TN",
"license": "MD9510",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "MD9510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106800001",
"state": "AR"
}
],
"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 Mar 9, 2016; 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.