Active NPI
Stephen A Avera, MD
- Student in an Organized Health Care Education/Training Program
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 0000059602
- Practice address
- University of Tennessee 920 Madison Avenue Suite 447
Memphis, TN 38163-2933 - Phone
- (901) 448-5737
- NPI assigned
- Apr 5, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0000059602 | TN | |
| Internal Medicine Physician | 207R00000X | MD214746 | OR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0000059602 | TN | Primary |
Addresses
Primary practice location
University of Tennessee 920 Madison Avenue Suite 447
Memphis, TN 38163-2933
Mailing address
University of Tennessee 920 Madison Avenue Suite 534
Memphis, TN 38163-0001
Phone (901) 448-5737
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190913000534 | TN | Practitioner - Internal Medicine | 4789913971 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000059602 | TN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of Tennessee PC | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
Locations
810 12th St
Hood River, OR 97031
Phone (541) 386-3911
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Lawrenceburg, IN
- NPI 1528433802
Internal Medicine, TN
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
Internal Medicine
-
- Clinical Pathology Physician
- Hood River, OR
- NPI 1053862714
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1174986293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 534",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381630001",
"telephone_number": "901-448-5737",
"fax_number": "901-448-7836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381632933",
"telephone_number": "901-448-5737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERA",
"first_name": "STEPHEN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-05",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "0000059602",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD214746",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TN",
"license": "0000059602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.