Individual provider Active NPI

Haider A Naqvi, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1285601815
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000028300 Issued in TN
Practice address
6005 Park Ave Ste 429B
Memphis, TN 38119-5211
Phone
(901) 546-2223
Fax
(901) 546-2224
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000028300 TN Primary

Addresses

Primary practice location

6005 Park Ave Ste 429B
Memphis, TN 38119-5211

Mailing address

6005 Park Ave Ste 429B
Memphis, TN 38119-5211
Phone (901) 546-2223

Other identifiers 5

IdentifierTypeStateIssuer
00121149MedicaidMS
3144568OtherTNBCBS TN
3724095MedicaidTN
3806210MedicaidTN
09016225MedicaidMS

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
I20111227000188 TN Practitioner - Internal Medicine 9335321959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6005 Park Ave
Suite 429B
Memphis, TN 38119-5211
Phone (901) 546-2223

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000028300TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Blakney Internal Medicine Current Accepting new patients
Saint Francis Physician Network, LLC CurrentSince Feb 5, 2018 Accepting new patients
East Memphis Healthcare, PLLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Amisub (SFH), Inc. Past Accepting new patients
Accentcare Hospice & Palliative Care of Tennessee LLC PastSince Jun 2, 2024 Accepting new patients

Locations

764 Walnut Knoll Ln
Cordova, TN 38018
Phone (901) 756-5565

6005 Park Ave
Ste 200
Memphis, TN 38119
Phone (901) 761-2100

6005 Park Ave
Ste 433B
Memphis, TN 38119
Phone (877) 734-2233

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

6005 Park Ave
Ste 426B
Memphis, TN 38119
Phone (601) 342-9611

452 Perkins Ext
Memphis, TN 38117
Phone (901) 730-8300

6005 Park Ave
Ste 429B
Memphis, TN 38119
Phone (901) 546-2223

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIBADD/Endpoint/AIBADD
  • Direct secure messaging: haider.naqvi@emh.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIBADD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1285601815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 429B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195211",
            "telephone_number": "901-546-2223",
            "fax_number": "901-546-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 429B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195211",
            "telephone_number": "901-546-2223",
            "fax_number": "901-546-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAQVI",
        "first_name": "HAIDER",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000028300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121149",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "3144568",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3724095",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3806210",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09016225",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.