Active NPI
Ammar Dulli, M.D
- Pulmonary Disease Physician
- Greenville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- P3525
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 71.4
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.14
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36116560 | IL | MD | Internal Medicine Physician |
| E-11852 | AR | MD | Pulmonary Disease Physician |
| 22758 | MS | MD | Pulmonary Disease Physician |
| P3525 | TX | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memphis Lung Physicians Foundation, Inc. | Pulmonary Disease | Current | Accepting new patients |
| Delta Medical Group | Current | 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
- 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.
-
- Pulmonary Disease Physician
- Germantown, TN
- NPI 1811279656
MS
-
- Emergency Medicine Physician
- Greenville, MS
- NPI 1790701134
-
- Family Nurse Practitioner
- Greenville, MS
- NPI 1598086639
-
- Pulmonary Disease Physician
- Memphis, TN
- NPI 1053340166
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.