NPIMap

Individual provider Active NPI

Nidal Rahal, M.D.

  • Family Medicine Physician
  • Germantown, TN
National Provider Identifier
1235106154
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40310 Issued in TN
Practice address
7820 Walking Horse Cir
Germantown, TN 38138-2143
Phone
(901) 279-4360
Fax
(901) 358-9010
NPI assigned
Mar 1, 2006
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40310 TN Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 40310 TN
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 40310 TN

Addresses

Primary practice location

7820 Walking Horse Cir
Germantown, TN 38138-2143

Mailing address

943 Whitney Ave
Memphis, TN 38127-7734
Phone (901) 279-4360

Other identifiers 1

IdentifierTypeStateIssuer
148597001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060222000486 TN Practitioner - Family PracticePractitioner - Hospice/Palliative Care 0143236554 Reassigns benefits to 1 organization
I20150730012074 MS Practitioner - Hospice/Palliative CarePractitioner - Family Practice 0143236554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

8059 Stage Hills Blvd
Bartlett, TN 38133-4071
Phone (901) 383-4515

943 Whitney Ave
Memphis, TN 38127-7734
Phone (901) 358-0326

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.27 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40310TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatrics & Palliative Care PLLC Family Medicine CurrentSince Nov 6, 2023 Accepting new patients
Mid-South Geriatrics & Palliative Care PLLC Current Accepting new patients
Heartland Family Medical Past Accepting new patients
Francis J. Fenaughty MD, P.C. Past Accepting new patients
Saint Francis Hospital - Bartlett, Inc. Past Accepting new patients

Locations

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

6027 Walnut Grove Rd
Ste 317
Memphis, TN 38120
Phone (901) 818-3921

943 Whitney Ave
Memphis, TN 38127
Phone (901) 279-4360

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hope Hospice & Palliative CareGermantown, TN, CCN 441604 Hospice Contracted Managing Employee (10%) Apr 12, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1235106154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 WHITNEY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381277734",
            "telephone_number": "901-279-4360",
            "fax_number": "901-358-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 WALKING HORSE CIR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382143",
            "telephone_number": "901-279-4360",
            "fax_number": "901-358-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHAL",
        "first_name": "NIDAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "40310",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "40310",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TN",
            "license": "40310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148597001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.