Active NPI
Louis J Magnotti, MD
- Surgical Critical Care Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 35504
- Practice address
- 877 Jefferson Avenue
Attn: Provider Enrollment
Memphis, TN 38103 - Phone
- (901) 545-6286
- Fax
- (901) 545-8122
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 35504 | TN | Primary |
Addresses
Primary practice location
877 Jefferson Avenue
Attn: Provider Enrollment
Memphis, TN 38103
Mailing address
66 N Pauline St
Suite 206
Memphis, TN 38105-5105
Phone (901) 448-7642
Other practice location 1
1910 Nonconnah Blvd
Suite 120
Memphis, TN 38132-2113
Phone (901) 448-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3325997 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3838 N Campbell Ave
BLDG 1
Tucson, AZ 85719-1454
Phone (520) 694-2873
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- Quality
- 74.56
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35504 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Surgery | Current | Accepting new patients |
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner - University Medical Center Tucson Campus LLC | Past | Accepting new patients |
Locations
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
1625 N Campbell Ave
Tucson, AZ 85719
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
-
- Surgery Physician
- Memphis, TN
- NPI 1093130585
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1285042028
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1639842677
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1326004128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 N PAULINE ST",
"address_2": "SUITE 206",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381055105",
"telephone_number": "901-448-7642",
"fax_number": "901-448-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 JEFFERSON AVENUE",
"address_2": "ATTN: PROVIDER ENROLLMENT",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38103",
"telephone_number": "901-545-6286",
"fax_number": "901-545-8122"
}
],
"practiceLocations": [
{
"address_1": "1910 Nonconnah Blvd",
"address_2": "Suite 120",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381322113",
"country_code": "US",
"telephone_number": "901-448-2300",
"fax_number": "901-448-6657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGNOTTI",
"first_name": "LOUIS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TN",
"license": "35504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3325997",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.
- 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.