Active NPI
Genti Tahiraj, M.D.
- Emergency Medicine Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 21507
- Practice address
- 830 S Gloster St
Tupelo, MS 38801-4934 - Phone
- (615) 477-8401
- NPI assigned
- Jun 24, 2008
- Last updated
- Jan 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21507 | MS | Primary |
Addresses
Primary practice location
830 S Gloster St
Tupelo, MS 38801-4934
Mailing address
830 S Gloster St
Tupelo, MS 38801-4934
Phone (615) 477-8401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21507 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| United Emergency Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| State of Mississippi-University of Mississippi Medical Center | Current | Accepting new patients | |
| Turnstone Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
201 14th St SW
Largo, FL 33770
Phone (727) 588-5222
2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
3065 James L Redman Pkwy
Plant City, FL 33566
Phone (813) 759-4900
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
12530 US Highway 301 S
Riverview, FL 33578
Phone (813) 413-3888
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389
100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000
965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
Interoperability endpoints
- genti_tahiraj_md_er@yourcarecommunity.org
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
dba University of Mississippi Medical Center-Grenada Specialty Clinic
- Family Medicine Physician
- Grenada, MS
- NPI 1932538527
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1609276583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359158400000",
"number": "1225299035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 S GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014934",
"telephone_number": "615-477-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014934",
"telephone_number": "615-477-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAHIRAJ",
"first_name": "GENTI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-24",
"last_updated": "2013-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "21507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.