Individual provider Active NPI

Yenal Harper, MD

  • Interventional Cardiology Physician
  • Memphis, TN
National Provider Identifier
1205188760
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
58865 Issued in TN
Practice address
3950 New Covington Pike Ste 220
Memphis, TN 38128-2595
Phone
(901) 763-0200
Fax
(901) 516-5370
NPI assigned
Oct 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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 58865 TN
Interventional Cardiology Physician 207RI0011X 58865 TN Primary

Addresses

Primary practice location

3950 New Covington Pike Ste 220
Memphis, TN 38128-2595

Mailing address

P O Box 1000 Dept 960
Memphis, TN 38148-0001
Phone (901) 758-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190824000053 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6507004637 Reassigns benefits to 1 organization
I20190917000443 MS Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6507004637 Reassigns benefits to 1 organization
I20260506000608 FL Practitioner - Interventional Cardiology 6507004637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians
Specialty Physician Group LLCGroup PAC ID 9537291323, 101 clinicians

Practice addresses (Care Compare)

200 Healthcare Way
Suite 103
North Venice, FL 34275-3670
Phone (941) 261-0160

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sutherland Cardiology Clinic, P.C. Current Accepting new patients
Specialty Physician Group LLC Cardiovascular Disease CurrentSince Sep 15, 2019 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

7460 Wolf River Blvd
Ste 200
Germantown, TN 38138

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

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

Interoperability endpoints

  • Direct secure messaging: yenalharper@sccpc.allscriptsdirect.net

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.

Hospital & facility affiliations 5

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": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1205188760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1000 DEPT 960",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-758-9900",
            "fax_number": "901-752-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 NEW COVINGTON PIKE STE 220",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282595",
            "telephone_number": "901-763-0200",
            "fax_number": "901-516-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "YENAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-09",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "58865",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "58865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.