Individual provider Active NPI

Latha Cherath, MD

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1134446859
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
68809 Issued in TN
Practice address
5131 Quince Rd
Memphis, TN 38117-6846
Phone
(901) 701-1888
Fax
(901) 701-1136
NPI assigned
Apr 21, 2010
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD450206 PA
Internal Medicine Physician 207R00000X 2023033574 MO
Internal Medicine Physician 207R00000X 68809 TN Primary

Addresses

Primary practice location

5131 Quince Rd
Memphis, TN 38117-6846

Mailing address

5131 Quince Rd
Memphis, TN 38117-6846
Phone (901) 701-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MO, TN3 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
I20140117000419 PA Practitioner - HospitalistPractitioner - Internal Medicine 9032347117 Reassigns benefits to 1 organization
I20230821001868 MO Practitioner - Internal Medicine 9032347117 Reassigns benefits to 1 organization
I20241127000484 TN Practitioner - Internal Medicine 9032347117 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Physicians Group of Tennessee, PLLC CurrentSince Sep 16, 2024 Accepting new patients
Dedicated Physicians Group of Tennessee, PLLC CurrentSince Sep 16, 2024 Accepting new patients
Dedicated Pennsylvania Holding, LLC Internal Medicine Current Accepting new patients
Dedicated Missouri Holding, LLC CurrentSince Aug 15, 2023 Accepting new patients
Dedicated Pennsylvania Holding, LLC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Dedicated Pennsylvania Holding, LLC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Dedicated Pennsylvania Holding, LLC Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

175 N Oaks Plz
Saint Louis, MO 63121
Phone (314) 391-9777

330 W Oregon Ave
Ste 170
Philadelphia, PA 19148
Phone (267) 338-3411

5675 N Front St
Ste 141
Philadelphia, PA 19120
Phone (267) 428-6575

1056 E Raines Rd
Memphis, TN 38116
Phone (901) 300-5777

5131 Quince Rd
Memphis, TN 38117
Phone (901) 440-3044

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": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1134446859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381176846",
            "telephone_number": "901-701-1888",
            "fax_number": "901-701-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381176846",
            "telephone_number": "901-701-1888",
            "fax_number": "901-701-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERATH",
        "first_name": "LATHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD450206",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2023033574",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "68809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.