Individual provider Active NPI

Awab Kamal Mahmoud Elnaeem, M.B.,B.S.

  • Neurology Physician
  • Memphis, TN
National Provider Identifier
1518639657
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
74420 Issued in TN
Practice address
1325 Eastmoreland Ave Ste 101
Memphis, TN 38104-3507
Phone
(901) 261-3500
Fax
(901) 624-2961
NPI assigned
Sep 28, 2021
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 74420 TN Primary
Vascular Neurology Physician 2084V0102X 74420 TN

Addresses

Primary practice location

1325 Eastmoreland Ave Ste 101
Memphis, TN 38104-3507

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655
Phone (901) 261-3500

Other practice location 1

1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Phone (409) 497-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260504007910 TN Practitioner - Neurology 8729556113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1068 Cresthaven Rd
Suite 300
Memphis, TN 38119-0800

1068 Cresthaven Rd
Suite 300
Memphis, TN 38119-0809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
BP10074415TXMDNeurology Physician
74420TNMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Medical Group Inc Neurology CurrentSince Apr 22, 2026 Accepting new patients
Ut Medical Group, Inc. PastSince Apr 22, 2026 Accepting new patients

Locations

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1325 Eastmoreland Ave
Ste 101
Memphis, TN 38104
Phone (901) 261-3500

930 Madison Ave
Ste 801
Memphis, TN 38103
Phone (901) 866-8605

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1518639657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655",
            "telephone_number": "901-261-3500",
            "fax_number": "901-624-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043507",
            "telephone_number": "901-261-3500",
            "fax_number": "901-624-2961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1068 Cresthaven Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381190809",
            "country_code": "US",
            "telephone_number": "409-497-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELNAEEM",
        "first_name": "AWAB",
        "middle_name": "KAMAL MAHMOUD",
        "name_prefix": "Dr.",
        "credential": "M.B.,B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "74420",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TN",
            "license": "74420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.