Individual provider Active NPI

Shirin Mazumder, MD

  • Infectious Disease Physician
  • Memphis, TN
National Provider Identifier
1396921623
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
47374 Issued in TN
Practice address
1325 Eastmoreland Ave Ste 360
Memphis, TN 38104-7514
Phone
(901) 516-8714
Fax
(901) 516-8550
NPI assigned
Jan 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125049079 IL
Infectious Disease Physician 207RI0200X 47374 TN Primary

Addresses

Primary practice location

1325 Eastmoreland Ave Ste 360
Memphis, TN 38104-7514

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

57 Germantown Ct Ste 100
Cordova, TN 38018-4274
Phone (901) 758-7888

Other practice location 2

1211 Union Ave Ste 200
Memphis, TN 38104-6654
Phone (901) 525-0278

Other identifiers 2

IdentifierTypeStateIssuer
103I441427OtherTNMEDICARE
1523865MedicaidTN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110623000669 TN Practitioner - Infectious Disease 8921132622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Rush Medical College of Rush University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut Methodist Physicians LLCGroup PAC ID 2769623669, 123 clinicians

Practice addresses (Care Compare)

57 Germantown CT
Suite 100
Cordova, TN 38018-4274
Phone (901) 758-7888

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
125049079ILMDInternal Medicine Physician
47374TNMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Methodist Physicians LLC Internal Medicine CurrentSince Sep 1, 2013 Accepting new patients
Primary Care Group LLC Internal Medicine CurrentSince Jan 27, 2025 Accepting new patients

Locations

57 Germantown Ct
Ste 100
Cordova, TN 38018
Phone (901) 435-8550

7945 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 201-5470

2961 Canada Rd
Ste 105
Lakeland, TN 38002
Phone (901) 388-0115

1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785

1407 Union Ave
Ste 640
Memphis, TN 38104

1325 Eastmoreland Ave
Ste 360
Memphis, TN 38104
Phone (901) 516-8714

1325 Eastmoreland Ave
Ste 365
Memphis, TN 38104
Phone (901) 272-6018

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1211 Union Ave
Ste 200
Memphis, TN 38104
Phone (901) 259-5340

Interoperability endpoints

  • Direct secure messaging: smazumder33201@mlh.direct-ci.com

Organizations & group practices 2

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": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1396921623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE STE 360",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047514",
            "telephone_number": "901-516-8714",
            "fax_number": "901-516-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Germantown Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380184274",
            "country_code": "US",
            "telephone_number": "901-758-7888",
            "fax_number": "901-266-6445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 Union Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381046654",
            "country_code": "US",
            "telephone_number": "901-525-0278",
            "fax_number": "901-526-9014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZUMDER",
        "first_name": "SHIRIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125049079",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TN",
            "license": "47374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "103I441427",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523865",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.