Renee Ruth Minirth, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2084P0800X Issued in TN

Practice address

1030 Jefferson Ave
Memphis, TN 38104-2127

Phone

(512) 779-9692

NPI assigned

May 1, 2010

Last updated

Jun 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of TennesseeGroup PAC ID 5698687077, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• State of Tennessee

  dba Marion County Health Department

  • Public Health or Welfare Agency
  • Jasper, TN
  • NPI 1487791315
  Medicare reassignment Care Compare group NPD
• State of Tennessee

  dba Robertson County Health Department

  • Public Health or Welfare Agency
  • Springfield, TN
  • NPI 1316090145
  NPD
• State of Tennessee State F & a Payroll

  dba Memphis Mental Health Institute

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1457435893
  NPD

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

{
    "created_epoch": "1272672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1174840078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576 OAKLEY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381116142",
            "telephone_number": "512-779-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042127",
            "telephone_number": "512-779-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINIRTH",
        "first_name": "RENEE",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-01",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "2084P0800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minesh Pathak MD PC
• Ahmed A Minhas, MD
• Sheharyar Sohail Minhas, MD
• Minimed Distribution Corp.
• Minimed Distribution Corp.
• Mink Beauty, Inc
• Jennifer Mink, M.D.
• Rikki Minkler
• Patriece D Minner, B.S., M.P.A.
• Timothy Dean Minniear, M.D.

• Psychiatry Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.

Verify at the official NPI Registry.