Individual provider Active NPI

Noel M Delos Santos, MD

  • Pediatric Nephrology Physician
  • Memphis, TN
National Provider Identifier
1275533580
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
36683 Issued in TN
Practice address
51 N Dunlap St Ste 400
Memphis, TN 38105
Phone
(901) 287-7337
Fax
(901) 287-5506
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 36683 TN
Pediatric Nephrology Physician 2080P0210X 36683 TN Primary

Addresses

Primary practice location

51 N Dunlap St Ste 400
Memphis, TN 38105

Mailing address

51 N Dunlap St
Memphis, TN 38105-4625
Phone (901) 287-5674

Other identifiers 1

IdentifierTypeStateIssuer
3496781MedicaidTN

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
I20101027000926 TN Practitioner - Pediatric Medicine 7810181591 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Nov 1, 2024 Accepting new patients
Ut Lebonheur Pediatric Specialists, Inc. Pediatric Nephrology CurrentSince Dec 1, 2010 Accepting new patients
Erlanger Health CurrentSince Nov 1, 2024 Accepting new patients
Pediatric Emergency Specialists, PC Pediatric Emergency Medicine Past Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients

Locations

900 E 3rd St
Chattanooga, TN 37403
Phone (423) 778-5437

1635 Gunbarrel Rd
Ste 410
Chattanooga, TN 37421
Phone (423) 778-5437

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

848 Adams Ave
Memphis, TN 38103
Phone (901) 287-5437

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

1407 Union Ave
Ste 200
Memphis, TN 38104
Phone (901) 866-8360

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • Direct secure messaging: ndelossantos31294@mlh.direct-ci.com

Organizations & group practices 5

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1275533580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N DUNLAP ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054625",
            "telephone_number": "901-287-5674",
            "fax_number": "901-287-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N DUNLAP ST STE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38105",
            "telephone_number": "901-287-7337",
            "fax_number": "901-287-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOS SANTOS",
        "first_name": "NOEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "TN",
            "license": "36683",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "TN",
            "license": "36683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3496781",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.