NPIMap

Individual provider Active NPI

Pranab Das, MD

  • Cardiovascular Disease Physician
  • Memphis, TN
National Provider Identifier
1528260460
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036116187 Issued in TN
Practice address
6005 Park Ave
Suite 500
Memphis, TN 38119-5202
Phone
(901) 683-6925
Fax
(901) 684-1435
NPI assigned
Jun 4, 2007
Last updated
Sep 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036116187 TN Primary

Addresses

Primary practice location

6005 Park Ave
Suite 500
Memphis, TN 38119-5202

Mailing address

6005 Park Ave
Suite 500
Memphis, TN 38119-5202
Phone (901) 683-6925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 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
I20080710000282 TN Practitioner - Cardiovascular Disease (Cardiology) 9638241441 Reassigns benefits to 1 organization
I20121102000205 AR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 9638241441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis-Arkansas Physician Network, LLCGroup PAC ID 5496014607, 2 clinicians
Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

300 S Rhodes St
West Memphis, AR 72301-4215
Phone (870) 400-0433

6005 Park Ave
Memphis, TN 38119-5215
Phone (901) 683-6925

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.62 of 100Reported as individual
Quality
63.68
Promoting interoperability
100
Improvement activities
40
Cost
75.3

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as individual
Quality
78.55
Promoting interoperability
98
Improvement activities
40
Cost
88.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting55
Pacemaker insertion or repair17
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036116187TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis-Arkansas Physician Network, LLC CurrentSince Feb 5, 2018 Accepting new patients
Saint Francis Physician Network, LLC CurrentSince Feb 5, 2018 Accepting new patients
Eric Blakney Current Accepting new patients
Southern Medical Partners, LLC Past Accepting new patients

Locations

300 S Rhodes St
West Memphis, AR 72301
Phone (870) 400-0433

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

6005 Park Ave
Ste 500
Memphis, TN 38119

6005 Park Ave
Ste 500B
Memphis, TN 38119

Interoperability endpoints

  • Direct secure messaging: pdas11613@direct.bmhcc.org
  • Direct secure messaging: pranab.das.1@16700.direct.athenahealth.com
  • Direct secure messaging: pdas31658@mlh.direct-ci.com

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 7

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1528260460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 500",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-683-6925",
            "fax_number": "901-684-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 500",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-683-6925",
            "fax_number": "901-684-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAS",
        "first_name": "PRANAB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "036116187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.