Individual provider Active NPI

Abdul-Rahman Riyad Abdel-Karim, M.D.

  • Interventional Cardiology Physician
  • Memphis, TN
National Provider Identifier
1093014441
Registry record updated Jun 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
57356 Issued in TN
Practice address
3950 New Covington Pike Ste 220
Memphis, TN 38128
Phone
(901) 763-0200
NPI assigned
Mar 24, 2011
Last updated
Jun 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 57356 TN
Interventional Cardiology Physician 207RI0011X 57356 TN Primary

Addresses

Primary practice location

3950 New Covington Pike Ste 220
Memphis, TN 38128

Mailing address

P O Box 1000 Dept 960
Memphis, TN 38148-0001
Phone (901) 763-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CT, ND3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181017003744 TN Practitioner - Interventional Cardiology 7810299161 Reassigns benefits to 1 organization
I20240717003284 CT Practitioner - Interventional Cardiology 7810299161 Reassigns benefits to 1 organization
I20240725002525 ND Practitioner - Cardiovascular Disease (Cardiology) 7810299161 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57356TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Cardiovascular Disease CurrentSince Jul 14, 2024 Accepting new patients
Altru Health System Current Accepting new patients
Altru Health System CurrentSince Jul 22, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jul 14, 2024 Accepting new patients
Altru Health System CurrentSince Jul 22, 2024 Accepting new patients
Sutherland Cardiology Clinic, P.C. Current Accepting new patients
Saint Francis Care Medical Group, PC Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

1000 Asylum Ave
Ste 2108
Hartford, CT 06105
Phone (860) 714-4097

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: aabdelkarim21677@mlh.direct-ci.com
  • Direct secure messaging: aabdelkarim3763005@direct.trinity-health.org
  • Direct secure messaging: abdul-rahmanabdel-karim@sccpc.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529712000000",
    "number": "1093014441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1000 DEPT 960",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-763-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 NEW COVINGTON PIKE STE 220",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38128",
            "telephone_number": "901-763-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL-KARIM",
        "first_name": "ABDUL-RAHMAN",
        "middle_name": "RIYAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2018-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "57356",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "57356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.