Wajih Istanbouli, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

40248 Issued in TN

Practice address

6570 Summer Oaks CV
Bartlett, TN 38134-2857

Phone

(901) 373-7100

Fax

(901) 842-0020

NPI assigned

May 11, 2006

Last updated

Mar 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carr PLLC

  dba Sound Physicians Emergency of Greater Memphis

  • Emergency Medicine Physician
  • Brentwood, TN
  • NPI 1548677610
  Medicare reassignment NPD
• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Internal Medicine

  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441
  NPD (past)
• De Queen Medical Center Inc

  • Critical Access Hospital
  • De Queen, AR
  • NPI 1154423523
  NPD (past)
• Exigence, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Helena, AR
  • NPI 1083664783
  NPD (past)
• National Healthcare of Newport Inc

  dba Harris Hospital ER

  • Emergency Medicine Physician
  • Newport, AR
  • NPI 1073720330
  NPD (past)
• National Healthcare of Newport Inc

  dba Harris Anesthesia Associates

  • Anesthesiology Physician
  • Newport, AR
  • NPI 1255548517
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1295785095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1000 DEPT 978",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-758-9900",
            "fax_number": "901-752-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 SUMMER OAKS CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342857",
            "telephone_number": "901-373-7100",
            "fax_number": "901-842-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISTANBOULI",
        "first_name": "WAJIH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E0106",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "40248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125549001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ijeoma Iloh, PHARMD
• Infectious DX Solutions PC
• Emma Ing, BSN, RN
• Kata Gregg Ingram, PT, DPT
• Innovative Diagnostic Solutions
• Brittney Nicole Jackson, LPC-MHSP
• Charolette Jackson, MD
• Dhakiya Jackson, APRN
• Nissa Nicole Jacobson Gerlosky
• Kayla Renee James, DPT

• Internal Medicine Physician in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.