NPIMap

Organization Active NPI

Memphis Internists, LLC

  • Internal Medicine Physician
  • Bartlett, TN
National Provider Identifier
1356432355
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEMPHIS INTERNISTS, LLC
Practice address
3025 Kate Bond Rd
Bartlett, TN 38133-4004
Phone
(901) 362-8671
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mahmood Ali, MD
Title
Owner, Ceo
Phone
(901) 362-8671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3025 Kate Bond Rd
Bartlett, TN 38133-4004

Mailing address

3294 Poplar Ave Suite 100
Memphis, TN 38111-4649
Phone (901) 362-8671

Other practice location 1

3294 Poplar Ave Suite 100
Memphis, TN 38111-4649
Phone (901) 362-8671

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTN

National Provider Directory

National Provider Directory

Locations

3294 Poplar Ave
Memphis, TN 38111
Phone (901) 362-8671

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1356432355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3294 POPLAR AVE SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114649",
            "telephone_number": "901-362-8671",
            "fax_number": "901-458-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 KATE BOND RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334004",
            "telephone_number": "901-362-8671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3294 Poplar Ave Suite 100",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381114649",
            "country_code": "US",
            "telephone_number": "901-362-8671",
            "fax_number": "901-458-4896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEMPHIS INTERNISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "901-362-8671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.