Individual provider Active NPI

Joan Arlene Kaufman, M.D.

  • Radiation Oncology Physician
  • Memphis, TN
National Provider Identifier
1407964208
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD0000027115 Issued in TN
Practice address
1030 Jefferson Ave
VA Hosp, Radiation Oncology Dept.
Memphis, TN 38104-2127
Phone
(901) 577-7285
Fax
(901) 577-7428
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD0000027115 TN Primary

Addresses

Primary practice location

1030 Jefferson Ave
VA Hosp, Radiation Oncology Dept.
Memphis, TN 38104-2127

Mailing address

5 Windwood Dr.
Jackson, TN 38305
Phone (731) 668-2987

Other names 1

  • Dr. Joan Arlene Jacobson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240613003833 AR Practitioner - Radiation Oncology 2668915018 Reassigns benefits to 1 organization
I20241010001582 TN Practitioner - Radiation Oncology 2668915018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Arkansas College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cookeville Regional Medical CenterGroup PAC ID 7810805736, 51 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 783-2497

Hospital & facility affiliations

  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000027115TNMDRadiation Oncology Physician
27115TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services CurrentSince Jun 10, 2024 Accepting new patients
Cookeville Regional Medical Center CurrentSince Jun 8, 2024 Accepting new patients
Baptist Health Services Current Accepting new patients
Cookeville Regional Medical Center CurrentSince Jun 8, 2024 Accepting new patients
Cookeville Regional Medical Center Past Accepting new patients

Locations

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1502 Dodson Ave
Fort Smith, AR 72901
Phone (479) 709-7190

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

Interoperability endpoints

  • Direct secure messaging: jkaufmanjacobson749566@direct.baptist-healthar.org

Organizations & group practices 5

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 1

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407964208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WINDWOOD DR.",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-668-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 JEFFERSON AVE",
            "address_2": "VA HOSP, RADIATION ONCOLOGY DEPT.",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042127",
            "telephone_number": "901-577-7285",
            "fax_number": "901-577-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "JOAN",
        "middle_name": "ARLENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "MD0000027115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "JACOBSON",
            "middle_name": "ARLENE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.