NPIMap

Individual provider Active NPI

Amina Dafalla, M.D

  • Obstetrics & Gynecology Physician
  • Memphis, TN
National Provider Identifier
1497194864
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
56570 Issued in TN
Practice address
681 S White Station Rd
Memphis, TN 38117-4560
Phone
(901) 276-3222
NPI assigned
Jun 19, 2013
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101263653 VA
Obstetrics & Gynecology Physician 207V00000X 56570 TN Primary

Addresses

Primary practice location

681 S White Station Rd
Memphis, TN 38117-4560

Mailing address

8110 N Brother Blvd Ste 200
Bartlett, TN 38133-2760
Phone (901) 255-5221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180716002587 TN Practitioner - Obstetrics/Gynecology 0446519805 Reassigns benefits to 1 organization
I20190604000721 TX Practitioner - Obstetrics/Gynecology 0446519805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rush Medical College of Rush University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Obstetrics and Gynecological Association PCGroup PAC ID 7214918762, 46 clinicians

Practice addresses (Care Compare)

681 S White Station Rd
Suite 111
Memphis, TN 38117-4563
Phone (901) 276-3222

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Memphis Obstetrics and Gynecological Association PC Obstetrics & Gynecology CurrentSince Oct 30, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Apr 18, 2019 Accepting new patients
Womens Health Specialists, PLLC Obstetrics & Gynecology Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Apr 18, 2019 Accepting new patients

Locations

6215 Humphreys Blvd
Ste 401
Memphis, TN 38120
Phone (901) 682-9222

681 S White Station Rd
Ste 111
Memphis, TN 38117
Phone (901) 276-3222

Interoperability endpoints

  • Direct secure messaging: adafalla22015@mlh.direct-ci.com
  • Direct secure messaging: amina.dafalla.1@16415.direct.athenahealth.com
  • Direct secure messaging: amina.dafalla.p1@direct.mphshc.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4

Organizations & group practices 5

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 4

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1497194864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 N BROTHER BLVD STE 200",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332760",
            "telephone_number": "901-255-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 S WHITE STATION RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174560",
            "telephone_number": "901-276-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFALLA",
        "first_name": "AMINA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101263653",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "56570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.