Organization Active NPI

Mid-South Cardiovascular Center, LLC

  • Cardiovascular Disease Physician
  • Memphis, TN
National Provider Identifier
1124171590
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35778 Issued in TN
Legal business name
MID-SOUTH CARDIOVASCULAR CENTER, LLC
Practice address
4066 Summer Ave
Memphis, TN 38122-5262
Phone
(901) 725-2222
Fax
(901) 725-1133
NPI assigned
Jan 19, 2007
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Someswara Reddy Karri, MDNPI 1841224300
Title
President
Phone
(901) 725-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 35778 TN Primary

Addresses

Primary practice location

4066 Summer Ave
Memphis, TN 38122-5262

Mailing address

PO Box 382668
Germantown, TN 38183-2668
Phone (901) 725-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081218000712 TN Part B Supplier - Clinic/Group Practice 8729020292 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN
O20150611002968 AR Part B Supplier - Clinic/Group Practice 8729020292 Receives reassigned benefits from 1 practitioner
Practice locations: Blytheville, AR; Helena, AR

National Provider Directory

National Provider Directory

Locations

1211 Union Ave
Ste 150
Memphis, TN 38104
Phone (901) 725-2222

1211 Union Ave
Ste 495
Memphis, TN 38104
Phone (901) 507-5835

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1124171590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382668",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381832668",
            "telephone_number": "901-725-2222",
            "fax_number": "901-725-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 SUMMER AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381225262",
            "telephone_number": "901-725-2222",
            "fax_number": "901-725-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH CARDIOVASCULAR CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "KARRI",
        "authorized_official_first_name": "SOMESWARA",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-725-2222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "35778",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.