Individual provider Active NPI

Joseph S Fahhoum, MD

  • Specialist
  • Germantown, TN
National Provider Identifier
1265433213
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
24839 Issued in TN
Practice address
2034 Exeter Rd Ste 1
Germantown, TN 38138-3950
Phone
(901) 202-4100
Fax
(901) 202-4100
NPI assigned
Aug 2, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 24839 TN Primary
Emergency Medicine Physician 207P00000X 24839 TN

Addresses

Primary practice location

2034 Exeter Rd Ste 1
Germantown, TN 38138-3950

Mailing address

823 Rocky Hills CV S
Cordova, TN 38018-6540
Phone (901) 202-4100

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
I20040709000598 TN Practitioner - Allergy/ImmunologyPractitioner - Emergency Medicine 5698753390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2006 Exeter Rd
Germantown, TN 38138-3945
Phone (901) 202-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24839TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy and Asthma Specialists of Memphis, PC Specialist CurrentSince Oct 20, 2007 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Ut Medical Group, Inc. Past Accepting new patients
Francis J. Fenaughty MD, P.C. Emergency Medicine Past Accepting new patients
Ut Medical Group Inc PastSince Nov 1, 1998 Accepting new patients

Locations

2006 Exeter Rd
Germantown, TN 38138
Phone (901) 202-4100

Interoperability endpoints

  • Direct secure messaging: jfahhoum27142@mlh.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1265433213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 ROCKY HILLS CV S",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186540",
            "telephone_number": "901-202-4100",
            "fax_number": "901-202-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 EXETER RD STE 1",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383950",
            "telephone_number": "901-202-4100",
            "fax_number": "901-202-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHHOUM",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "24839",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "24839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.