Individual provider Active NPI

Michael Adam Podraza, M.D.

  • Obstetrics & Gynecology Physician
  • Memphis, TN
National Provider Identifier
1255566824
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
50594 Issued in TN
Practice address
6401 Poplar Ave Ste 195
Memphis, TN 38119-4891
Phone
(901) 257-9725
Fax
(901) 425-9778
NPI assigned
May 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 50594 TN Primary

Addresses

Primary practice location

6401 Poplar Ave Ste 195
Memphis, TN 38119-4891

Mailing address

6401 Poplar Ave Ste 195
Memphis, TN 38119-4891
Phone (901) 257-9725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140325001419 TN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 0941431571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Harmony Women's Health, PLLCGroup PAC ID 7416320106, 2 clinicians

Practice addresses (Care Compare)

6401 Poplar Ave
Suite 195
Memphis, TN 38119-4891
Phone (901) 257-9725

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Women's Health, PLLC Obstetrics & Gynecology CurrentSince Feb 16, 2023 Accepting new patients
Saint Francis Physician Network, LLC CurrentSince Feb 5, 2018 Accepting new patients
Eric Blakney Current Accepting new patients

Locations

6401 Poplar Ave
Ste 195
Memphis, TN 38119
Phone (901) 257-9725

452 Perkins Ext
Memphis, TN 38117
Phone (901) 730-8300

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

6005 Park Ave
Ste 828B
Memphis, TN 38119
Phone (901) 254-8180

6005 Park Ave
Ste 821B
Memphis, TN 38119
Phone (901) 683-7319

Interoperability endpoints

  • Direct secure messaging: mpodraza30840@mlh.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1255566824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE STE 195",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194891",
            "telephone_number": "901-257-9725",
            "fax_number": "901-425-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE STE 195",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194891",
            "telephone_number": "901-257-9725",
            "fax_number": "901-425-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODRAZA",
        "first_name": "MICHAEL",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "50594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.