Javed Abdullah, MD
Individual provider Active NPI Cardiovascular Disease Physician · Germantown, TN
NPI 1184801367 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1184801367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 50265 (TN)
- Practice address
- 7460 Wolf River Blvd
Germantown, TN 38138-1760 - Phone
- (901) 763-0200
- Fax
- (901) 761-4002
- NPI assigned
- Jan 30, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Specialty Physician Group LLC
Practice addresses (Care Compare)
3950 New Covington Pike
Suite 220
Memphis, TN 38128-2595
Phone (901) 763-0200
4240 Bethel Rd
Suite 201
Olive Branch, MS 38654-8737
Phone (901) 763-0200
Hospital & facility affiliations
- Methodist Hospitals of Memphis
- Methodist Healthcare - Olive Branch Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130725000914 | TN | Practitioner - Interventional Cardiology |
7810040169 | Reassigns benefits to 1 organization |
| I20150901003130 | MS | Practitioner - Interventional Cardiology |
7810040169 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutherland Cardiology Clinic, P.C. | Current | Accepting new patients | |
| Specialty Physician Group LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Bluefield HBP Medical Group LLC | Past | Accepting new patients | |
| Princeton Community Hospital Assn., Inc | Cardiovascular Disease | Past | Accepting new patients |
| Princeton Community Hospital Assn., Inc | Past | Accepting new patients |
Locations
4250 Bethel Rd
Fl 5
Olive Branch, MS 38654
Phone (662) 932-9544
4240 Bethel Rd
Ste 201
Olive Branch, MS 38654
1880 Old Highway 51 S
Ste C
Brighton, TN 38011
Phone (901) 837-7979
7460 Wolf River Blvd
#200
Germantown, TN 38138
3950 New Covington Pike
Ste 220
Memphis, TN 38128
Phone (901) 516-0829
1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954
7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792
Interoperability endpoints
- jabdulla@yourcarecommunity.org
- jabdullah26790@mlh.direct-ci.com
- javedabdullah@sccpc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 23973 | MS | |
| Cardiovascular Disease Physician | 207RC0000X | 50265 | TN | Yes |
Addresses
Primary practice location
7460 Wolf River Blvd
Germantown, TN 38138-1760
Mailing address
1211 Union Ave Ste 330
Memphis, TN 38104-6655
Other practice location 1
3950 New Covington Pike Ste 220
Memphis, TN 38128-2595
Phone (901) 763-0200
Other practice location 2
1880 Old Highway 51 S Ste C
Brighton, TN 38011-8025
Phone (901) 763-0200
Other practice location 3
4240 Bethel Rd Ste 201
Olive Branch, MS 38654-8737
Phone (901) 763-0200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6041886 | Other | TN | BCBS |
| 06926726 | Medicaid | MS | |
| Q002944 | Medicaid | TN |
Other providers in Germantown, TN
- 901 Physical Therapy, PLLC
- ABA Memphis
- Abbiebella Services LLC
- Adio Ishmael Abdu
- Tracie Watkins Abel
- George Abell
- Natalie Wilson Abell
- Lauren Abernathy
- Aprille M Abston-Turns
All providers in Germantown, TN · Cardiovascular Disease Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.