Individual provider Active NPI

Arsen H Manugian, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Bartlett, TN
National Provider Identifier
1225023260
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD0000010256 Issued in TN
Practice address
3045 Kate Bond Rd
Bartlett, TN 38133-4004
Phone
(901) 641-3000
Fax
(901) 373-3804
NPI assigned
Sep 15, 2005
Last updated
Jun 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD0000010256 TN
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD0000010256 TN Primary

Addresses

Primary practice location

3045 Kate Bond Rd
Bartlett, TN 38133-4004

Mailing address

6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5742
Phone (901) 725-8347

Other practice location 1

8040 Wolf River Blvd Ste 100
Germantown, TN 38138-1773
Phone (901) 641-3000

Other practice location 2

4515 Poplar Ave Ste 206
Memphis, TN 38117-7506
Phone (901) 641-3000

Other identifiers 5

IdentifierTypeStateIssuer
4228321OtherTNBCBS OF TN
1514474MedicaidTN
00756271OtherTNRR MEDICARE
2598820OtherCIGNA
40MD0010256OtherUNITED HEALTH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090721000363 TN Practitioner - Orthopedic Surgery 1153406988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MSK Group PCGroup PAC ID 4688574262, 138 clinicians

Practice addresses (Care Compare)

2100 Exeter Rd
Suite 200
Germantown, TN 38138-3966
Phone (901) 641-3000

4515 Poplar Ave
Suite 206
Memphis, TN 38117-7506
Phone (901) 641-3000

6286 Briarcrest Ave
Memphis, TN 38120-4023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000010256TNMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group, PC Orthopaedic Surgery CurrentSince Aug 3, 2009 Accepting new patients
MSK Group, PC Orthopaedic Surgery CurrentSince Aug 3, 2009 Accepting new patients
MSK Group PC Orthopaedic Surgery Past Accepting new patients

Locations

13690 Highway 51 S
Ste 104
Atoka, TN 38004
Phone (901) 259-4254

8010 Stage Hills Blvd
Bartlett, TN 38133
Phone (901) 937-3200

3045 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 381-4664

2100 Exeter Rd
Ste 200
Germantown, TN 38138
Phone (901) 522-6440

8040 Wolf River Blvd
Ste 100
Germantown, TN 38138
Phone (901) 381-4664

6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347

6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600

4515 Poplar Ave
Ste 206
Memphis, TN 38117
Phone (901) 381-4664

4816 Riverdale Rd
Memphis, TN 38141
Phone (901) 522-6830

1325 Eastmoreland Ave
Ste 260
Memphis, TN 38104
Phone (901) 272-6051

6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1225023260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 PRIMACY PKWY STE 140",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195742",
            "telephone_number": "901-725-8347",
            "fax_number": "901-259-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 KATE BOND RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334004",
            "telephone_number": "901-641-3000",
            "fax_number": "901-373-3804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 Wolf River Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381773",
            "country_code": "US",
            "telephone_number": "901-641-3000",
            "fax_number": "901-373-3804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4515 Poplar Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381177506",
            "country_code": "US",
            "telephone_number": "901-641-3000",
            "fax_number": "901-373-3804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUGIAN",
        "first_name": "ARSEN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MD0000010256",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "MD0000010256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4228321",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514474",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "00756271",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2598820",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "40MD0010256",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.