Individual provider Active NPI

Dmitry M Yaranov, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Memphis, TN
National Provider Identifier
1255607164
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
59402 Issued in TN
Practice address
6027 Walnut Grove Rd Ste 112
Memphis, TN 38120-2115
Phone
(901) 271-1000
Fax
(901) 271-4187
NPI assigned
Mar 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E-13438 AR
Cardiovascular Disease Physician 207RC0000X 59402 TN
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 59402 TN Primary

Addresses

Primary practice location

6027 Walnut Grove Rd Ste 112
Memphis, TN 38120-2115

Mailing address

8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000

Other practice location 1

4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (901) 226-4280

Other practice location 2

8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20191014002951 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Advanced Heart Failure and Transplant Cardiology 5496061574 Reassigns benefits to 2 organizations
I20211129000890 MS Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5496061574 Reassigns benefits to 2 organizations
I20220131001625 AR Practitioner - Cardiovascular Disease (Cardiology) 5496061574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stern Cardiovascular Center, PAGroup PAC ID 2860390275, 126 clinicians
Stern Cardiovascular Foundation, IncGroup PAC ID 8123200540, 111 clinicians

Practice addresses (Care Compare)

201 E Oak Ave
Jonesboro, AR 72401-4163
Phone (901) 271-1000

391 Southcrest Cir
Suite 200
Southaven, MS 38671-6729
Phone (901) 271-1000

4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (901) 271-1000

6027 Walnut Grove Rd
Suite 112
Memphis, TN 38120-2115
Phone (901) 271-1000

7362 Southcrest Pkwy
Southaven, MS 38671-4773
Phone (901) 271-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stern Cardiovascular Foundation, Inc Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Stern Cardiovascular Center, PA Cardiovascular Disease CurrentSince Nov 1, 2025 Accepting new patients

Locations

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

201 E Oak Ave
Jonesboro, AR 72401

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

100 Baptist Memorial Cir
Ste 201
Oxford, MS 38655
Phone (662) 574-5293

7362 Southcrest Pkwy
Southaven, MS 38671
Phone 90127110002272

391 Southcrest Cir
Ste 200
Southaven, MS 38671
Phone (662) 349-1900

6025 Walnut Grove Rd
Ste 111
Memphis, TN 38120
Phone (901) 226-2000

8060 Wolf River Blvd
Memphis, TN 38138
Phone (901) 271-2272

Interoperability endpoints

  • Direct secure messaging: dyaranov304367@direct.bmhcc.org
  • Direct secure messaging: dmitryyaranov@stern.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1255607164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381727",
            "telephone_number": "901-271-1000",
            "fax_number": "901-271-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 WALNUT GROVE RD STE 112",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202115",
            "telephone_number": "901-271-1000",
            "fax_number": "901-271-4187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 E Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724058413",
            "country_code": "US",
            "telephone_number": "901-226-4280",
            "fax_number": "901-226-4282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8060 Wolf River Blvd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381727",
            "country_code": "US",
            "telephone_number": "901-271-1000",
            "fax_number": "901-271-4187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YARANOV",
        "first_name": "DMITRY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-25",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E-13438",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "59402",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "TN",
            "license": "59402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.