NPIMap

Individual provider Active NPI

Festus N Arinze, M.D.

  • Internal Medicine Physician
  • Humboldt, TN
National Provider Identifier
1114974086
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD36710 Issued in TN
Practice address
705 Medical Park Dr
Humboldt, TN 38343-3034
Phone
(731) 784-2442
Fax
(731) 784-1000
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD36710 TN Primary

Addresses

Primary practice location

705 Medical Park Dr
Humboldt, TN 38343-3034

Mailing address

705 Medical Park Dr
Humboldt, TN 38343-3034
Phone (731) 784-2442

Other identifiers 1

IdentifierTypeStateIssuer
3328792MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040916001133 TN Practitioner - Internal MedicinePractitioner - Emergency Medicine 9133196223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

705 Medical Park Dr
Humboldt, TN 38343-3034
Phone (731) 784-2442

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • West Tennessee Healthcare Milan Hospital Hospital, Milan, TN, CCN 440060
  • Avondale Health and Rehabilitation Center, LLC Nursing home, Humboldt, TN, CCN 445454

Merit-based Incentive Payment System (MIPS)

Final score
85.1 of 100Reported as apm
Quality
65.16
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD36710TNMDInternal Medicine Physician
36718TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Clinic PC Internal Medicine CurrentSince Jul 5, 2005 Accepting new patients
Provider Partners Care Management LP CurrentSince Jan 10, 2026 Accepting new patients
Cogent Healthcare of Tennessee, PC Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Avondale Health and Rehabilitation Center LLC Past Accepting new patients
West Tennessee Medical Group Inc Internal Medicine Past Accepting new patients
Shiloh Emergency Physicians LLC Past Accepting new patients
Humboldt Healthcare and Rehab Center, LLC Past Accepting new patients
Decatur County General Hospital Past Accepting new patients
Aoc Physicians Group PLLC Internal Medicine Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

705 Medical Park Dr
Humboldt, TN 38343
Phone (731) 784-2442

2031 Avondale St
Humboldt, TN 38343
Phone (731) 784-3655

902 Buchanan Rd
New Tazewell, TN 37825
Phone (423) 626-7297

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHAGAA/Endpoint/EHAGAA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avondale Health and Rehabilitation CenterHumboldt, TN, CCN 445454 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1114974086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MEDICAL PARK DR",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433034",
            "telephone_number": "731-784-2442",
            "fax_number": "731-784-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MEDICAL PARK DR",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433034",
            "telephone_number": "731-784-2442",
            "fax_number": "731-784-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARINZE",
        "first_name": "FESTUS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD36710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3328792",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, TN

Sources for this page

Verify at the official NPI Registry.