NPIMap

Individual provider Active NPI

Shahram Rahimi-Saber, MD

  • Emergency Medicine Physician
  • Collierville, TN
National Provider Identifier
1376544379
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35635 Issued in TN
Practice address
794 Polo Run Dr
Collierville, TN 38017-1399
Phone
(901) 850-7788
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35635 TN Primary

Addresses

Primary practice location

794 Polo Run Dr
Collierville, TN 38017-1399

Mailing address

794 Polo Run Dr
Collierville, TN 38017-1399
Phone (901) 850-7788

Other identifiers 2

IdentifierTypeStateIssuer
3866086MedicaidTN
3866089MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713001359 TN Practitioner - Emergency Medicine 3476531518 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist North Emergency Physicians, PLLCGroup PAC ID 0941659247, 43 clinicians

Practice addresses (Care Compare)

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5200

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35635TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 10, 2023 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 10, 2023 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Jan 21, 2011 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 10, 2023 Accepting new patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Dec 10, 2023 Accepting new patients
C. Ferrell Varner MD, Inc. Emergency Medicine Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Francis J. Fenaughty MD, P.C. Emergency Medicine Past Accepting new patients
Methodist Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients

Locations

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1265 Union Ave
#8E
Memphis, TN 38104
Phone (901) 726-0999

Interoperability endpoints

  • Direct secure messaging: srahimisaber33411@mlh.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1376544379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 POLO RUN DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380171399",
            "telephone_number": "901-850-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 POLO RUN DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380171399",
            "telephone_number": "901-850-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIMI-SABER",
        "first_name": "SHAHRAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "35635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3866086",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3866089",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.