Individual provider Active NPI

Pawan Virendra Rawal, M.B.B.S.

  • Neurology Physician
  • Memphis, TN
National Provider Identifier
1255659009
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
53007 Issued in TN
Practice address
6029 Walnut Grove Rd Ste 210
Memphis, TN 38120-2112
Phone
(901) 226-4910
Fax
(901) 226-4915
NPI assigned
May 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 53007 TN Primary

Addresses

Primary practice location

6029 Walnut Grove Rd Ste 210
Memphis, TN 38120-2112

Mailing address

1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809

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
I20150918001526 TN Practitioner - Neurology 6305083478 Reassigns benefits to 2 organizations
I20170324000796 MS Practitioner - Neurology 6305083478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut Medical Group IncGroup PAC ID 3173435369, 98 clinicians
Tri-State Neurology PLLCGroup PAC ID 1355449737, 4 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (901) 866-8360

5100 Sanderlin Ave
Suite 2100
Memphis, TN 38117-4387
Phone (901) 820-0141

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 866-8801

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.23 of 100Reported as group
Quality
55.38
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Medical Group, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Ut Medical Group Inc Neurology CurrentSince Mar 1, 2025 Accepting new patients

Locations

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

6029 Walnut Grove Rd
Ste 210
Memphis, TN 38120
Phone (901) 226-2960

1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

Interoperability endpoints

  • Direct secure messaging: prawal31826@mlh.direct-ci.com
  • Direct secure messaging: pawanrawal@tsn.directglo.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.

Hospital & facility affiliations 7

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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1255659009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD STE 210",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202112",
            "telephone_number": "901-226-4910",
            "fax_number": "901-226-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWAL",
        "first_name": "PAWAN",
        "middle_name": "VIRENDRA",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "53007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.