Individual provider Active NPI

Sushant Sharad Khaire, M.D.

  • Interventional Cardiology Physician
  • Memphis, TN
National Provider Identifier
1225340557
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
65853 Issued in TN
Practice address
1211 Union Ave Ste 965
Memphis, TN 38104-6638
Phone
(901) 435-8550
Fax
(901) 478-0781
NPI assigned
Jul 1, 2010
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 794L MS
Interventional Cardiology Physician 207RI0011X 65853 TN Primary
Interventional Cardiology Physician 207RI0011X MD.35774 AL

Addresses

Primary practice location

1211 Union Ave Ste 965
Memphis, TN 38104-6638

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

1938 Crescent Meadows Dr
Holly Springs, MS 38635-7419
Phone (901) 435-8550

Other practice location 2

4240 Bethel Rd Ste 201
Olive Branch, MS 38654-8737
Phone (901) 763-0200

Other practice location 3

3725 Champion Hills Dr Ste 2000
Memphis, TN 38125-2510
Phone (901) 763-0200

Other practice location 4

1251 Wesley Dr Ste 100
Memphis, TN 38116-6442
Phone (901) 435-8550

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
I20220720003446 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4880967629 Reassigns benefits to 1 organization
I20221028000509 MS Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4880967629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Specialty Physician Group LLCGroup PAC ID 9537291323, 101 clinicians

Practice addresses (Care Compare)

1211 Union Ave
Suite 965
Memphis, TN 38104-6638
Phone (901) 435-8550

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
22.22 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting34
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
794LMSMDInternal Medicine Physician
MD.35774ALMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physician Group LLC Interventional Cardiology CurrentSince Jul 18, 2022 Accepting new patients
Sutherland Cardiology Clinic, P.C. Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Methodist Healthcare - Memphis Hospitals PastSince Jul 18, 2022 Accepting new patients
Methodist Healthcare - Olive Branch Hospital PastSince Nov 1, 2022 Accepting new patients

Locations

1938 Crescent Meadows Dr
Holly Springs, MS 38635
Phone (662) 252-1599

4240 Bethel Rd
Ste 201
Olive Branch, MS 38654

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

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

1211 Union Ave
Ste 965
Memphis, TN 38104
Phone (901) 435-8550

1251 Wesley Dr
Ste 100
Memphis, TN 38116
Phone (901) 332-9632

3725 Champion Hills Dr
Ste 2000
Memphis, TN 38125
Phone (901) 367-9001

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

Interoperability endpoints

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

Organizations & group practices 5

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 6

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1225340557",
    "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": "1211 UNION AVE STE 965",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046638",
            "telephone_number": "901-435-8550",
            "fax_number": "901-478-0781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1938 Crescent Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "MS",
            "postal_code": "386357419",
            "country_code": "US",
            "telephone_number": "901-435-8550",
            "fax_number": "901-478-0781",
            "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"
        },
        {
            "address_1": "3725 Champion Hills Dr Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381252510",
            "country_code": "US",
            "telephone_number": "901-763-0200",
            "fax_number": "901-478-0781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 Wesley Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381166442",
            "country_code": "US",
            "telephone_number": "901-435-8550",
            "fax_number": "901-395-2621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAIRE",
        "first_name": "SUSHANT",
        "middle_name": "SHARAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "794L",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "65853",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "MD.35774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.