Individual provider Active NPI

Ammar Dulli, M.D

  • Pulmonary Disease Physician
  • Greenville, MS
National Provider Identifier
1487874145
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
P3525 Issued in TX
Practice address
1400 E Union St
Greenville, MS 38703-3246
Phone
(662) 378-1174
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36116560 IL
Pulmonary Disease Physician 207RP1001X 036116560 IL
Pulmonary Disease Physician 207RP1001X 55577 TN
Pulmonary Disease Physician 207RP1001X 22758 MS
Pulmonary Disease Physician 207RP1001X E-11852 AR
Pulmonary Disease Physician 207RP1001X P3525 TX Primary

Addresses

Primary practice location

1400 E Union St
Greenville, MS 38703-3246

Mailing address

1261 Devonshire PL
Greenville, MS 38701-8339
Phone (248) 790-1486

Other practice location 1

4600 Memorial Dr Ste 200
Belleville, IL 62226-5363
Phone (618) 233-2220

Other practice location 2

2120 Exeter Rd Ste 250
Germantown, TN 38138-3931
Phone (901) 767-5864

Other practice location 3

2100 N 7th St
West Memphis, AR 72301-2017
Phone (870) 394-7800

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, 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
I20130927000274 MS Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0749380152 Reassigns benefits to 2 organizations
I20180524002836 TN Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0749380152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Lung Physicians Foundation, Inc.Group PAC ID 4981876307, 57 clinicians

Practice addresses (Care Compare)

2120 Exeter Rd
Suite 250
Germantown, TN 38138-3931
Phone (901) 767-5864

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 701-5825

6019 Walnut Grove Rd 4
Memphis, TN 38120-2113
Phone (901) 226-0732

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.71 of 100Reported as group
Quality
71.4
Promoting interoperability
100
Improvement activities
40
Cost
72.14

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36116560ILMDInternal Medicine Physician
E-11852ARMDPulmonary Disease Physician
22758MSMDPulmonary Disease Physician
P3525TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Lung Physicians Foundation, Inc. Pulmonary Disease CurrentSince Oct 1, 2017 Accepting new patients
Delta Medical Group CurrentSince Aug 1, 2013 Accepting new patients
Delta Physician Practices Past Accepting new patients
Memphis Lung Physicians, P.C. Pulmonary Disease Past Accepting new patients

Locations

1400 E Union St
Greenville, MS 38703
Phone (601) 427-0422

1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783

1306 Hospital St
Greenville, MS 38703
Phone (662) 334-9712

401 Southcrest Cir
Ste 212
Southaven, MS 38671
Phone (662) 245-5270

363 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 349-0488

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

6025 Walnut Grove Rd
Ste 508
Memphis, TN 38120
Phone (901) 767-5864

2120 Exeter Rd
Ste 250
Memphis, TN 38138
Phone (901) 767-5864

Interoperability endpoints

  • Direct secure messaging: adulli146898@direct.bmhcc.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1487874145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 DEVONSHIRE PL",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387018339",
            "telephone_number": "248-790-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033246",
            "telephone_number": "662-378-1174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Memorial Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265363",
            "country_code": "US",
            "telephone_number": "618-233-2220",
            "fax_number": "618-233-2555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Exeter Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383931",
            "country_code": "US",
            "telephone_number": "901-767-5864",
            "fax_number": "901-767-6591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 N 7th St",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723012017",
            "country_code": "US",
            "telephone_number": "870-394-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULLI",
        "first_name": "AMMAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36116560",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036116560",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "55577",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "22758",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AR",
            "license": "E-11852",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "P3525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4600 Memorial Dr Ste 200",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.