Active NPI
Farukh Ali Mirza, MD
- Family Medicine Physician
- Bartlett, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 73819
- Practice address
- 3091 Kirby Whitten Rd
Bartlett, TN 38134-2822 - Phone
- (901) 752-6963
- Fax
- (901) 759-4704
- NPI assigned
- Jun 2, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 73819 | TN | Primary |
Addresses
Primary practice location
3091 Kirby Whitten Rd
Bartlett, TN 38134-2822
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003
Other practice location 1
8110 Cordova Rd Ste 111
Cordova, TN 38016-0522
Phone (901) 752-6963
Other practice location 2
7685 Winchester Rd # 100
Memphis, TN 38125-2202
Phone (901) 752-6963
Other practice location 3
400 Market Blvd Ste 101
Collierville, TN 38017-6516
Phone (901) 752-6963
Other practice location 4
5150 Airline Rd Ste 300
Arlington, TN 38002-8033
Phone (901) 752-6963
Other practice location 5
2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-1350
Other practice location 6
8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606
Other practice location 7
4625 Poplar Ave
Memphis, TN 38117-4419
Phone (901) 752-6963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3091 Kirby Whitten Rd
Bartlett, TN 38134-2822
Phone (901) 260-9303
8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73819 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMG Family Physicians Group Foundation, Inc | Family Medicine | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Baptist Memorial Health Services, Inc. of Mississippi | Past | Accepting new patients | |
| Family Physicians Group PC | Family Medicine | Past | Accepting new patients |
Locations
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
5150 Airline Rd
Ste 300
Arlington, TN 38002
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
3091 Kirby Whitten Rd
Bartlett, TN 38134
Phone (901) 260-9303
400 Market Blvd
Ste 101
Collierville, TN 38017
Phone (901) 260-9310
8110 Cordova Rd
Ste 111
Cordova, TN 38016
8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606
7685 Winchester Rd
#100
Memphis, TN 38125
4625 Poplar Ave
Memphis, TN 38117
Phone (901) 227-4020
2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350
7685 Winchester Rd
Ste 100
Memphis, TN 38125
Phone (901) 260-9301
350 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 226-4003
Interoperability endpoints
- https://rxedi.bmhcc.org/prd-fhir/api/FHIR/R4/
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
Family Medicine
-
- Family Medicine Physician
- Memphis, TN
- NPI 1578804142
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Family Medicine Physician
- Memphis, TN
- NPI 1457344145
-
- Internal Medicine Physician
- New Albany, MS
- NPI 1104971696
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- Home Health Agency
- Cordova, TN
- NPI 1235664921
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1154060515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202177",
"telephone_number": "901-226-4003",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3091 KIRBY WHITTEN RD",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381342822",
"telephone_number": "901-752-6963",
"fax_number": "901-759-4704"
}
],
"practiceLocations": [
{
"address_1": "8110 Cordova Rd Ste 111",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380160522",
"country_code": "US",
"telephone_number": "901-752-6963",
"fax_number": "901-432-0070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7685 Winchester Rd # 100",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381252202",
"country_code": "US",
"telephone_number": "901-752-6963",
"fax_number": "901-759-4746",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Market Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Collierville",
"state": "TN",
"postal_code": "380176516",
"country_code": "US",
"telephone_number": "901-752-6963",
"fax_number": "901-737-3640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5150 Airline Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TN",
"postal_code": "380028033",
"country_code": "US",
"telephone_number": "901-752-6963",
"fax_number": "901-260-9354",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 Exeter Rd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381383966",
"country_code": "US",
"telephone_number": "901-757-1350",
"fax_number": "901-757-3496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8138 Country Village Dr",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380162029",
"country_code": "US",
"telephone_number": "901-725-8606",
"fax_number": "901-759-9254",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4625 Poplar Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381174419",
"country_code": "US",
"telephone_number": "901-752-6963",
"fax_number": "901-260-9309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRZA",
"first_name": "FARUKH",
"middle_name": "ALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-02",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "73819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.