Individual provider Active NPI

Pallavi V Rawtani, MD

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1306976212
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000010815 Issued in TN
Practice address
910 Madison Ave
Suite 704
Memphis, TN 38103-3403
Phone
(901) 527-6556
Fax
(901) 525-5441
NPI assigned
Mar 7, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000010815 TN Primary

Addresses

Primary practice location

910 Madison Ave
Suite 704
Memphis, TN 38103-3403

Mailing address

910 Madison Ave
Suite 704
Memphis, TN 38103-3403
Phone (901) 527-6556

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
I20120123000025 TN Practitioner - General Practice 2062689607 Practice locations: Cordova, TN; Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Timber Creek Dr
Cordova, TN 38018-4236
Phone (901) 756-6963

910 Madison Ave
Suite 704
Memphis, TN 38103-3488
Phone (901) 527-6556

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000010815TNMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: pallavi.rawtani.1@12854.direct.athenahealth.com
  • Direct secure messaging: prawtani31822@mlh.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306976212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MADISON AVE",
            "address_2": "SUITE 704",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033403",
            "telephone_number": "901-527-6556",
            "fax_number": "901-525-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MADISON AVE",
            "address_2": "SUITE 704",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033403",
            "telephone_number": "901-527-6556",
            "fax_number": "901-525-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWTANI",
        "first_name": "PALLAVI",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000010815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.