Active NPI
Shirisha Kamidi, M.D.
- Internal Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD2026-0432
- Practice address
- 1100 Central Ave SE
Albuquerque, NM 87106-4930 - Phone
- (505) 724-6124
- Fax
- (505) 724-6125
- NPI assigned
- Jul 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | E-13324 | AR | |
| Internal Medicine Physician | 207R00000X | 59154 | TN | |
| Internal Medicine Physician | 207R00000X | 25781 | MS | |
| Internal Medicine Physician | 207R00000X | MD2026-0432 | NM | Primary |
Addresses
Primary practice location
1100 Central Ave SE
Albuquerque, NM 87106-4930
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Other practice location 1
2100 N 7th St
West Memphis, AR 72301-2017
Phone (901) 226-3610
Other practice location 2
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3610
Other practice location 3
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 N 7TH St
West Memphis, AR 72301-2017
Phone (901) 226-3610
255 Baptist Blvd
Columbus, MS 39705-2006
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000
4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (901) 227-9820
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2130
Hospital & facility affiliations
- Baptist Memorial Hospital Desoto
- Baptist Memorial Hospital-Crittenden, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Greenbrook Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Baptist Memorial Hospital-Desoto, Inc, | Past | Accepting new patients |
Locations
4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820
2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Southaven, MS
- NPI 1801683008
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Memphis, AR
- NPI 1437634524
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1285041665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PHS PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CENTRAL AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064930",
"telephone_number": "505-724-6124",
"fax_number": "505-724-6125"
}
],
"practiceLocations": [
{
"address_1": "2100 N 7th St",
"address_purpose": "LOCATION",
"city": "West Memphis",
"state": "AR",
"postal_code": "723012017",
"country_code": "US",
"telephone_number": "901-226-3610",
"fax_number": "901-226-3612",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6019 Walnut Grove Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381202113",
"country_code": "US",
"telephone_number": "901-226-3610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7601 Southcrest Pkwy",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386714739",
"country_code": "US",
"telephone_number": "662-772-2980",
"fax_number": "662-772-2960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMIDI",
"first_name": "SHIRISHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AR",
"license": "E-13324",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "59154",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "25781",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2026-0432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.