Individual provider Active NPI

Andrew Wakefield Dyer, M.D.

  • Diagnostic Radiology Physician
  • Memphis, TN
National Provider Identifier
1437374667
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
46084 Issued in TN
Practice address
1661 International Place Drive
Suite 350
Memphis, TN 38120
Phone
(901) 685-2696
NPI assigned
Apr 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 46084 TN Primary

Addresses

Primary practice location

1661 International Place Drive
Suite 350
Memphis, TN 38120

Mailing address

85 Grey Oaks Dr
Apt. 204
Memphis, TN 38103-8925
Phone (901) 210-9654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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
I20100726000681 TN Practitioner - Diagnostic Radiology 5092848184 Reassigns benefits to 1 organization
I20130815000722 MS Practitioner - Diagnostic Radiology 5092848184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Radiological PCGroup PAC ID 1557333226, 50 clinicians

Practice addresses (Care Compare)

1300 Wesley Dr
Memphis, TN 38116-6426
Phone (901) 516-3700

1938 Crescent Meadow Dr
Holly Springs, MS 38635-7419
Phone (662) 252-1599

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000

551 Azalea Dr
Oxford, MS 38655-7900
Phone (662) 234-0332

705 N State St
Clarksdale, MS 38614-6519
Phone (662) 627-2973

7400 Airways Blvd
Southaven, MS 38671-5863
Phone (662) 536-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
92.01
Improvement activities
40
Cost
77.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46084TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Radiological, P.C. Diagnostic Radiology CurrentSince Jul 1, 2010 Accepting new patients
Memphis Radiological, P.C. Diagnostic Radiology CurrentSince Jul 1, 2010 Accepting new patients
Memphis Radiological, PC Past Accepting new patients

Locations

705 N State St
Clarksdale, MS 38614
Phone (662) 621-2192

551 Medical Dr
Clarksdale, MS 38614
Phone (662) 624-2531

1938 Crescent Meadows Dr
Holly Springs, MS 38635
Phone (662) 252-1599

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

5480 Goodman Rd
Olive Branch, MS 38654
Phone (662) 893-9800

103 Halls Cv
Senatobia, MS 38668
Phone (662) 562-9003

7400 Airways Blvd
Southaven, MS 38671
Phone (662) 536-1000

1377 S Germantown Rd
Germantown, TN 38138
Phone (901) 516-6792

7800 Wolf Trail Cv
Germantown, TN 38138
Phone (901) 682-9222

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

7695 Poplar Pike
Ste 101
Memphis, TN 38138

3950 New Covington Pike
Memphis, TN 38128
Phone (901) 387-2900

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1803 Union Ave
Ste 2
Memphis, TN 38104
Phone (901) 722-3136

225 S Claybrook St
Memphis, TN 38104
Phone (901) 516-2152

7710 Wolf River Cir
Memphis, TN 38138
Phone (901) 685-5969

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1801 Union Ave
Memphis, TN 38104
Phone (901) 516-6792

76 Tabb Dr
Ste E
Munford, TN 38058
Phone (901) 840-2102

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

Interoperability endpoints

  • Direct secure messaging: adyer22008@mlh.direct-ci.com

Organizations & group practices 3

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 7

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": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1437374667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GREY OAKS DR",
            "address_2": "APT. 204",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381038925",
            "telephone_number": "901-210-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 INTERNATIONAL PLACE DRIVE",
            "address_2": "SUITE 350",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-685-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "ANDREW",
        "middle_name": "WAKEFIELD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "46084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.