Active NPI
Sushant Sharad Khaire, M.D.
- Interventional Cardiology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 65853
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Methodist Hospitals of Memphis
- Methodist Healthcare - Olive Branch Hospital
- Alliance Healthcare System, Inc
- St Francis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.22 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 74.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 34 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 794L | MS | MD | Internal Medicine Physician |
| MD.35774 | AL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physician Group LLC | Interventional Cardiology | Current | 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 | Past | Accepting new patients | |
| Methodist Healthcare - Olive Branch Hospital | Past | 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
- 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.
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1174842181
Interventional Cardiology, MS
-
- Specialist
- Germantown, TN
- NPI 1740391804
-
dba MLH Shelby Oaks Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1225723133
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Holly Springs, MS
- NPI 1295826337
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.