Individual provider Active NPI

Lucien Alexander Nedzi, M.D.

  • Radiation Oncology Physician
  • Memphis, TN
National Provider Identifier
1164488573
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
N0308 Issued in TX
Practice address
1457 Goodbar Ave
Memphis, TN 38104-4912
Phone
(504) 296-8656
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD13721R LA
Radiation Oncology Physician 2085R0001X G68759 CA
Radiation Oncology Physician 2085R0001X 28335 TN
Radiation Oncology Physician 2085R0001X N0308 TX Primary

Addresses

Primary practice location

1457 Goodbar Ave
Memphis, TN 38104-4912

Mailing address

1457 Goodbar Ave
Memphis, TN 38104-4912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, MS3 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
I20080813000593 TX Practitioner - Radiation Oncology 7911920038 Reassigns benefits to 1 organization
I20220524002381 TN Practitioner - Radiation Oncology 7911920038 Reassigns benefits to 3 organizations
I20231130003983 MS Practitioner - Radiation Oncology 7911920038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Radiological PCGroup PAC ID 1557333226, 50 clinicians

Practice addresses (Care Compare)

1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 516-7600

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Regional One Health Hospital, Memphis, TN, CCN 440152

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
92.01
Improvement activities
40
Cost
77.86

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G68759CAMDRadiation Oncology Physician
MD13721RLAMDRadiation Oncology Physician
28335TNMDRadiation Oncology Physician
N0308TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital-Tipton CurrentSince Apr 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Baptist Memorial Hospital-Tipton CurrentSince Apr 1, 2022 Accepting new patients
Memphis Radiological, P.C. Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 24, 2008 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Apr 1, 2022 Accepting new patients
Baptist Memorial Medical Group Inc Radiation Oncology CurrentSince Apr 1, 2022 Accepting new patients
Memphis Radiological, P.C. CurrentSince Apr 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Radiation Oncology CurrentSince Apr 24, 2008 Accepting new patients
Slidell Memorial Hospital Past Accepting new patients

Locations (25 of 31)

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

5480 Goodman Rd
Olive Branch, MS 38654
Phone (662) 893-9800

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

103 Halls Cv
Senatobia, MS 38668
Phone (662) 562-9003

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

7400 Airways Blvd
Southaven, MS 38671
Phone (662) 536-1000

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

2996 Kate Bond Rd
Ste 100
Bartlett, TN 38133
Phone (901) 383-5570

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

1377 S Germantown Rd
Germantown, TN 38138
Phone (901) 516-6792

7800 Wolf Trail Cv
Germantown, TN 38138
Phone (901) 682-9222

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

3950 New Covington Pike
Memphis, TN 38128
Phone (901) 387-2900

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

1803 Union Ave
Ste 2
Memphis, TN 38104
Phone (901) 722-3136

7710 Wolf River Cir
Memphis, TN 38138
Phone (901) 685-5969

6799 Great Oaks Rd
Ste 200
Memphis, TN 38138
Phone (901) 259-0090

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

6401 Poplar Ave
Ste 505
Memphis, TN 38119
Phone (901) 683-1890

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

6401 Poplar Ave
Ste 100
Memphis, TN 38119
Phone (901) 387-2340

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

Interoperability endpoints

  • Direct secure messaging: lnedzi29713@mlh.direct-ci.com

Organizations & group practices 10

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 4

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1164488573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 GOODBAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 GOODBAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044912",
            "telephone_number": "504-296-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDZI",
        "first_name": "LUCIEN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "MD13721R",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G68759",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "28335",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "N0308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.