Ejaz Virk, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

27846 Issued in TN

Practice address

3173 Kirby Whitten Rd
Ste 104
Memphis, TN 38134

Phone

(901) 524-1200

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Psychiatry

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Francis Hospital Hospital, Memphis, TN, CCN 440183

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: evirk@yourcarecommunity.org

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.

• Mid South Psychiatry, PLLC

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1326277575
  Medicare reassignment NPD Authorized official
• DMC-Memphis, LLC

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1629296058
  NPD (past)
• Uhs of Lakeside LLC

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1083687651
  NPD (past)

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

• Amisub (SFH), Inc.

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1952326977
  Care Compare affiliation

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1427276823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381554",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831554",
            "telephone_number": "901-524-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3173 KIRBY WHITTEN RD",
            "address_2": "STE 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38134",
            "telephone_number": "901-524-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 Brunswick Road",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38133",
            "country_code": "US",
            "telephone_number": "901-377-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Getwell Road",
            "address_2": "null",
            "address_purpose": "LOCATION",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38118",
            "country_code": "US",
            "telephone_number": "901-672-6238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIRK",
        "first_name": "EJAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "27846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508445",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123049",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135344001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN MEDICARE",
            "identifier": "103I265082",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.