Vartkes Kevork Kiledjian, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

7726 Issued in TN

Practice address

6005 Park Ave
Suite 1004B
Memphis, TN 38119-5202

Phone

(901) 767-6181

Fax

(901) 767-2969

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cardiovascular Physicians of Memphis

  • Interventional Cardiology Physician
  • Memphis, TN
  • NPI 1659377216
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1407894066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 1004B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-767-6181",
            "fax_number": "901-767-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 1004B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-767-6181",
            "fax_number": "901-767-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILEDJIAN",
        "first_name": "VARTKES",
        "middle_name": "KEVORK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "7726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18775",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620948379",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113919001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Norman Kiel, D.P.M.
• Tyreisha Kight
• Karlee Darby Kiihnl
• Roger Dale Kilcoyne, DDS
• Ranger Harris Kile, MD
• Gena R Kilgore-Wilson, MBA
• Christopher Robin Kilgore, PHARM.D
• Mary Elaine Killian, M.D.
• Jeffrey Killion, LPC-MHSP (TEMP.)
• Corretta Kilpatrick Jones, RN

• Surgery Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.