Individual provider Active NPI

Amy K Oyler, MD

  • Pediatrics Physician
  • Memphis, TN
National Provider Identifier
1285766709
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
55559 Issued in TN
Practice address
6401 Poplar Ave Ste 610
Memphis, TN 38119-4806
Phone
(901) 227-5045
Fax
(901) 224-5043
NPI assigned
Mar 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 55559 TN Primary

Addresses

Primary practice location

6401 Poplar Ave Ste 610
Memphis, TN 38119-4806

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (901) 226-4003

Other identifiers 1

IdentifierTypeStateIssuer
3221083 00MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101025001120 MD Practitioner - Pediatric Medicine 9739372509 Reassigns benefits to 1 organization
I20240321002666 TN Practitioner - Pediatric MedicinePractitioner - Internal Medicine 9739372509 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55559TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc Pediatrics CurrentSince Mar 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Aug 1, 2015 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Aug 1, 2015 Accepting new patients
BMC - Attala, LLC PastSince Mar 17, 2024 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Pediatrics PastSince Mar 17, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

400 W 7th St
#H
Frederick, MD 21701
Phone (240) 566-3300

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606

6401 Poplar Ave
Ste 610
Memphis, TN 38119
Phone (901) 227-5045

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1285766709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE STE 610",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194806",
            "telephone_number": "901-227-5045",
            "fax_number": "901-224-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYLER",
        "first_name": "AMY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "55559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3221083 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.