Individual provider Active NPI

Monica Lynn Warhaftig, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Memphis, TN
National Provider Identifier
1235244450
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
2284 Issued in TN
Practice address
452 Perkins Extd
Memphis, TN 38117-3802
Phone
(901) 888-2646
Fax
(901) 888-2647
NPI assigned
Aug 20, 2006
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Addiction Medicine (Family Medicine) Physician 207QA0401X 23742 MS
Geriatric Medicine (Family Medicine) Physician 207QG0300X FLOS8294 FL
Geriatric Medicine (Family Medicine) Physician 207QG0300X 2284 TN Primary

Addresses

Primary practice location

452 Perkins Extd
Memphis, TN 38117-3802

Mailing address

452 Perkins Extd
Memphis, TN 38117-3802
Phone (901) 888-2646

Other names 1

  • Monica Warhaftig Rossi Other name

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
I20110721000844 TN Practitioner - Family PracticePractitioner - Geriatric Medicine 5799686739 Reassigns benefits to 1 organization
I20151008001617 MS Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Addiction MedicinePractitioner - Geriatric Medicine 5799686739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine, Geriatric Medicine, Hospice/Palliative Care
Education
University of Miami, LM Miller School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri State Community Health CenterGroup PAC ID 4486955341, 10 clinicians

Practice addresses (Care Compare)

4041 Knight Arnold Rd
Memphis, TN 38118-2128

4041 Knight Rd
Memphis, TN 38118-2128
Phone (901) 360-0442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23742MSMDAddiction Medicine (Family Medicine) Physician
FLOS8294FLMDGeriatric Medicine (Family Medicine) Physician
2284TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cocaine and Alcohol Awareness Program, Inc. Past Accepting new patients
DMC-Memphis, LLC Past Accepting new patients
Saint Francis Medical Partners East, LLC Past Accepting new patients
Camelot Care Centers, LLC Past Accepting new patients
Vitas Solutions Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: monica.warhaftig.p1@direct.tristatechc.nextgenshare.com
  • Direct secure messaging: mwarhaftig31133@mlh.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1235244450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 PERKINS EXTD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381173802",
            "telephone_number": "901-888-2646",
            "fax_number": "901-888-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 PERKINS EXTD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381173802",
            "telephone_number": "901-888-2646",
            "fax_number": "901-888-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARHAFTIG",
        "first_name": "MONICA",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MS",
            "license": "23742",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "FLOS8294",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "2284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "ROSSI",
            "middle_name": "WARHAFTIG",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.