NPIMap

Individual provider Active NPI

Sonal Sujit Mehr, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Memphis, TN
National Provider Identifier
1205057957
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
44532 Issued in TN
Practice address
2714 Union Avenue Ext Ste 150
Memphis, TN 38112-4431
Phone
(901) 725-0872
Fax
(901) 278-6934
NPI assigned
May 1, 2007
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 44532 TN Primary

Addresses

Primary practice location

2714 Union Avenue Ext Ste 150
Memphis, TN 38112-4431

Mailing address

PO Box 746725
Atlanta, GA 30374-6725
Phone (312) 733-9730

Other practice location 1

3889 Park Ave
Memphis, TN 38111-6634
Phone (901) 401-7140

Other identifiers 7

IdentifierTypeStateIssuer
1511578MedicaidTN
6038823OtherTNHEALTHSPRING
621663939OtherTNUNITED HEALTH CARE
PO746918OtherTNPALMETTO GBA
0608823OtherTNCIGNA
268732OtherTNUNISON
4222992OtherTNBCBST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090218000504 TN Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5991860363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Tennessee, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

2714 Union Ave Ext
Suite 150
Memphis, TN 38112-4431
Phone (901) 725-0872

3360 N Watkins St
Memphis, TN 38127-6432
Phone (901) 401-7150

3889 Park Ave
Memphis, TN 38111-6634
Phone (901) 401-7140

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osh Mi Physicians Group, PC CurrentSince Jan 1, 2021 Accepting new patients
Oak Street Health Physicians Group of Tennessee, PLLC CurrentSince Jul 17, 2022 Accepting new patients
Osh-Mi Physicians Group PC Past Accepting new patients

Locations

2714 Union Avenue Ext
Ste 150
Memphis, TN 38112
Phone (901) 725-0872

3360 N Watkins St
Memphis, TN 38127
Phone (901) 353-4603

3889 Park Ave
Memphis, TN 38111
Phone (901) 401-7140

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1205057957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746725",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746725",
            "telephone_number": "312-733-9730",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 UNION AVENUE EXT STE 150",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124431",
            "telephone_number": "901-725-0872",
            "fax_number": "901-278-6934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3889 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381116634",
            "country_code": "US",
            "telephone_number": "901-401-7140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHR",
        "first_name": "SONAL",
        "middle_name": "SUJIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "44532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511578",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING",
            "identifier": "6038823",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "621663939",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "PO746918",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0608823",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "268732",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4222992",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.