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
Last updated
Feb 27, 2025By the provider in NPPES
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

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

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

290 S Walnut Bend Rd
Ste 1
Cordova, TN 38018
Phone (901) 266-1080

2225 Union Ave
Memphis, TN 38104

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

7840 Church St
Millington, TN 38053
Phone (901) 726-1161

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": [],
    "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.