NPIMap

Organization Active NPI

Kejac Ventures LLC

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1265919005
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
52959
Legal business name
KEJAC VENTURES LLC
Practice address
6263 Poplar Ave Ste 1052
Memphis, TN 38119-4736
Phone
(901) 761-6157
Fax
(901) 761-4145
NPI assigned
Jul 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Kelechi Uzoma Iwuji, MDNPI 1548524861
Title
Authorized Official
Phone
(901) 761-6157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 52959 Primary

Addresses

Primary practice location

6263 Poplar Ave Ste 1052
Memphis, TN 38119-4736

Mailing address

PO Box 1051
Collierville, TN 38027-1051
Phone (901) 761-6157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181002001250 TN Part B Supplier - Clinic/Group Practice 9335490325 Receives reassigned benefits from 9 practitioners
Practice locations: Memphis, TN
O20200610000505 MS Part B Supplier - Clinic/Group Practice 9335490325 Receives reassigned benefits from 2 practitioners
Practice locations: Southaven, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1265919005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1051",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380271051",
            "telephone_number": "901-761-6157",
            "fax_number": "901-761-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 POPLAR AVE STE 1052",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194736",
            "telephone_number": "901-761-6157",
            "fax_number": "901-761-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEJAC VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "IWUJI",
        "authorized_official_first_name": "KELECHI",
        "authorized_official_middle_name": "UZOMA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "901-761-6157",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": "52959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.