Individual provider Active NPI

Irfan Pradhan, NP

  • Family Nurse Practitioner
  • Millington, TN
National Provider Identifier
1386003572
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21813 Issued in TN
Practice address
4772 Navy Rd Ste a
Millington, TN 38053-1927
Phone
(901) 873-0930
Fax
(901) 873-0931
NPI assigned
Feb 16, 2016
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338871-1 NY
Family Nurse Practitioner 363LF0000X 21813 TN Primary
Registered Nurse 163W00000X 684695-1 NY

Addresses

Primary practice location

4772 Navy Rd Ste a
Millington, TN 38053-1927

Mailing address

4772 Navy Rd Ste a
Millington, TN 38053-1927
Phone (901) 873-0930

Other practice location 1

9301 Poplar Ave Ste A
Germantown, TN 38138-7906
Phone (901) 587-6100

Other practice location 2

6490 Memphis Arlington Rd Ste 106
Bartlett, TN 38135-7439
Phone (901) 762-1532

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220603002605 TN Practitioner - Nurse Practitioner 8729386552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamad Ahmad MD PCGroup PAC ID 0749553816, shared by 4 NPIs, 14 clinicians

Practice addresses (Care Compare)

853 W Poplar Ave
Collierville, TN 38017-2545
Phone (901) 673-1240

9301 Poplar Ave
Germantown, TN 38138-7906
Phone (901) 587-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
684695-1NYMDRegistered Nurse
F338871-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamad Ahmad MD PC CurrentSince Jul 15, 2022 Accepting new patients
Hamad Ahmad MD PC CurrentSince Aug 1, 2022 Accepting new patients
Hamad Ahmad MD PC CurrentSince Apr 4, 2022 Accepting new patients
Hamad Ahmad MD PC CurrentSince Apr 4, 2022 Accepting new patients

Locations

853 W Poplar Ave
Collierville, TN 38017
Phone (901) 673-1240

9301 Poplar Ave
Germantown, TN 38138
Phone (901) 587-6100

9301 Poplar Ave
Ste A
Germantown, TN 38138
Phone (901) 587-6100

4772 Navy Rd
Ste A
Millington, TN 38053
Phone (901) 873-0570

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1386003572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4772 NAVY RD STE A",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531927",
            "telephone_number": "901-873-0930",
            "fax_number": "901-873-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 NAVY RD STE A",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531927",
            "telephone_number": "901-873-0930",
            "fax_number": "901-873-0931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9301 Poplar Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381387906",
            "country_code": "US",
            "telephone_number": "901-587-6100",
            "fax_number": "901-587-6101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6490 Memphis Arlington Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381357439",
            "country_code": "US",
            "telephone_number": "901-762-1532",
            "fax_number": "901-762-1532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "IRFAN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338871-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21813",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "684695-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, TN

Sources for this page

Verify at the official NPI Registry.