Individual provider Active NPI

Javed Abdullah, MD

  • Cardiovascular Disease Physician
  • Germantown, TN
National Provider Identifier
1184801367
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
50265 Issued in TN
Practice address
7460 Wolf River Blvd
Germantown, TN 38138-1760
Phone
(901) 763-0200
Fax
(901) 761-4002
NPI assigned
Jan 30, 2008
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 23973 MS
Cardiovascular Disease Physician 207RC0000X 50265 TN Primary

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 3

IdentifierTypeStateIssuer
Q002944MedicaidTN
06926726MedicaidMS
6041886OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130725000914 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional RadiologyPractitioner - Other (Physician) 7810040169 Reassigns benefits to 1 organization
I20150901003130 MS Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 7810040169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physician Group LLCGroup PAC ID 9537291323, 101 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physician Group LLC Cardiovascular Disease CurrentSince Aug 1, 2015 Accepting new patients
Sutherland Cardiology Clinic, P.C. Current Accepting new patients
Princeton Community Hospital Assn., Inc Past Accepting new patients
Princeton Community Hospital Assn., Inc Cardiovascular Disease Past Accepting new patients
Bluefield HBP Medical Group LLC Past Accepting new patients
Methodist Healthcare - Olive Branch Hospital PastSince Aug 1, 2015 Accepting new patients

Locations

4240 Bethel Rd
Ste 201
Olive Branch, MS 38654

4250 Bethel Rd
Fl 5
Olive Branch, MS 38654
Phone (662) 932-9544

1880 Old Highway 51 S
Ste C
Brighton, TN 38011
Phone (901) 837-7979

7460 Wolf River Blvd
#200
Germantown, TN 38138

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

3950 New Covington Pike
Ste 220
Memphis, TN 38128
Phone (901) 516-0829

7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792

Interoperability endpoints

  • Direct secure messaging: jabdulla@yourcarecommunity.org
  • Direct secure messaging: jabdullah26790@mlh.direct-ci.com
  • Direct secure messaging: javedabdullah@sccpc.allscriptsdirect.net

Organizations & group practices 6

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.

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": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1184801367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381760",
            "telephone_number": "901-763-0200",
            "fax_number": "901-761-4002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 New Covington Pike Ste 220",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381282595",
            "country_code": "US",
            "telephone_number": "901-763-0200",
            "fax_number": "901-516-5370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 Old Highway 51 S Ste C",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "TN",
            "postal_code": "380118025",
            "country_code": "US",
            "telephone_number": "901-763-0200",
            "fax_number": "901-761-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4240 Bethel Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386548737",
            "country_code": "US",
            "telephone_number": "901-763-0200",
            "fax_number": "901-761-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDULLAH",
        "first_name": "JAVED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "23973",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "50265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002944",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06926726",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6041886",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.