Individual provider Active NPI

Farukh Ali Mirza, MD

  • Family Medicine Physician
  • Bartlett, TN
National Provider Identifier
1154060515
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
73819 Issued in TN
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

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730000270 TN Practitioner - Family Practice 0547641755 Reassigns benefits to 2 organizations

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
BMG Family Physicians Group Foundation IncGroup PAC ID 1557508983, 21 clinicians

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

LicenseStateTypeSpecialty
73819TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMG Family Physicians Group Foundation, Inc Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
Baptist Memorial Medical Group Inc Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients
Family Physicians Group PC Family Medicine PastSince Aug 1, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.