Metropolitan Cardiovascular Institute

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

METROPOLITAN CARDIOVASCULAR INSTITUTE

Doing business as

Metro Cardio

Practice address

1975 Nonconnah Blvd
Memphis, TN 38132-2108

Phone

(901) 337-1625

NPI assigned

Aug 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Dwight Anthony Dishmon, MDNPI 1316904048

Title

Owner

Phone

(901) 596-4096

Specialties & licenses 2

Addresses

Other names 1

• Metro Cardio Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dwight Anthony Dishmon, MD

  • Interventional Cardiology Physician
  • Memphis, TN
  • NPI 1316904048
  Medicare reassignment Care Compare group NPD Authorized official
• Kajuandria D Beasley-Williams, FNP-C

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1407240732
  Medicare reassignment Care Compare group NPD
• Jayna Kelly, MD

  • Interventional Cardiology Physician
  • Memphis, TN
  • NPI 1700229515
  Medicare reassignment Care Compare group NPD
• Samantha Raburn, FNP

  • Primary Care Nurse Practitioner
  • Memphis, TN
  • NPI 1497629075
  Medicare reassignment NPD
• Agam Patel

  • Interventional Cardiology Physician
  • Wesley Chapel, FL
  • NPI 1629496484
  NPD (past)

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1336816388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 CARTERS GROVE LN",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381384904",
            "telephone_number": "901-596-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 NONCONNAH BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322108",
            "telephone_number": "901-337-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN CARDIOVASCULAR INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "DISHMON",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-596-4096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Cardio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metro Cardio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Metri-Xpress LLC
• Metro Counseling Center
• Metro Medical Transportation Inc.
• Metro Memphis Medical Specialist, Inc.
• Metro Transit (Mettransit)
• Angela M Metz, PHARM.D.
• Monika Metzger, MD
• Laurel Jeanette Metzler, M.D.
• Emily Mewborn, APRN
• Meyer Eye Group PLC

• Interventional Cardiology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Interventional Cardiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.