Organization Active NPI

The Kidney Group of Memphis, PLLC

  • Specialist
  • Memphis, TN
National Provider Identifier
1467544643
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19034 Issued in TN
Legal business name
THE KIDNEY GROUP OF MEMPHIS, PLLC
Practice address
2225 Union Ave
Suite 100
Memphis, TN 38104-4316
Phone
(901) 726-1161
Fax
(901) 726-0161
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Marc H. Stegman, M.D.NPI 1023019825
Title
President/Partner
Phone
(901) 726-1161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 19034 TN Primary

Addresses

Primary practice location

2225 Union Ave
Suite 100
Memphis, TN 38104-4316

Mailing address

2225 Union Ave
Suite 100
Memphis, TN 38104-4316
Phone (901) 726-1161

Other identifiers 1

IdentifierTypeStateIssuer
3732740MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060221000356 TN Part B Supplier - Clinic/Group Practice 5991711483 Receives reassigned benefits from 5 practitioners
Practice locations: Bartlett, TN; Collierville, TN; Cordova, TN; Germantown, TN; Memphis, TN; Millington, TN

National Provider Directory

National Provider Directory

Locations

3025 Kate Bond Rd
Ste 403
Bartlett, TN 38133

2996 Kate Bond Rd
Ste 403
Bartlett, TN 38133
Phone (901) 310-4424

526 Halle Park Dr
Collierville, TN 38017
Phone (901) 730-5345

1533 Bonnie Ln
Ste 1
Cordova, TN 38016
Phone (901) 726-1161

7645 Wolf River Cir
Ste 202
Germantown, TN 38138
Phone (901) 348-6487

7640 Wolf River Cir
Memphis, TN 38138
Phone (901) 726-1161

2225 Union Ave
Ste 100
Memphis, TN 38104
Phone (901) 726-1161

2225 Union Ave
Memphis, TN 38104

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1467544643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 UNION AVE",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044316",
            "telephone_number": "901-726-1161",
            "fax_number": "901-726-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 UNION AVE",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044316",
            "telephone_number": "901-726-1161",
            "fax_number": "901-726-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDNEY GROUP OF MEMPHIS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "STEGMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT/PARTNER",
        "authorized_official_telephone_number": "901-726-1161",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "19034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3732740",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.