Individual provider Active NPI

Joya Sahu, MD

  • Dermatopathology Physician
  • Memphis, TN
National Provider Identifier
1548471071
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
69764 Issued in TN
Practice address
930 Madison Ave Ste 890
Memphis, TN 38103-3413
Phone
(901) 866-8834
Fax
(901) 302-2834
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD37771 AL
Dermatopathology Physician 207ND0900X MD.37771 AL
Dermatopathology Physician 207ND0900X 69764 TN Primary

Addresses

Primary practice location

930 Madison Ave Ste 890
Memphis, TN 38103-3413

Mailing address

1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809

Other identifiers 4

IdentifierTypeStateIssuer
102612614MedicaidPA
Q089003MedicaidTN
MD.37771OtherALAL MD
0266655MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, 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
I20200319000498 AL Practitioner - DermatologyPractitioner - Other (Physician) 0547430787 Reassigns benefits to 2 organizations
I20231229002665 TN Practitioner - Dermatology 0547430787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Dermatology and Skin Specialists LLCGroup PAC ID 3375936396, 9 clinicians

Practice addresses (Care Compare)

2045 Cecil Ashburn Dr SE
Suite 201
Huntsville, AL 35802-2564
Phone (256) 925-3376

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD37771ALMDDermatology Physician
MD.37771ALMDDermatopathology Physician
69764TNMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmg Dermatopathology, LLC CurrentSince Jan 14, 2024 Accepting new patients
Ut Medical Group Inc Dermatology CurrentSince Dec 1, 2023 Accepting new patients
Alabama Dermatology and Skin Specialists, LLC Dermatology CurrentSince Aug 1, 2024 Accepting new patients
Ut Medical Group, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Southeastern Dermatology Group PA Dermatology CurrentSince Feb 4, 2020 Accepting new patients

Locations

22281 US Highway 72
Ste A
Athens, AL 35613
Phone (256) 233-5911

106 Westside Dr
Dothan, AL 36303
Phone (334) 699-3376

2045 Cecil Ashburn Dr SE
Ste 201
Huntsville, AL 35802
Phone (256) 881-5874

201B Longwood Dr SE
Huntsville, AL 35801
Phone (256) 539-6473

2505 Harrison Ave
Ste 740
Panama City, FL 32405

2505 Harrison Ave
Panama City, FL 32405
Phone 85023333762619

1407 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 866-8360

930 Madison Ave
Ste 890
Memphis, TN 38103
Phone (901) 866-8834

1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1548471071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MADISON AVE STE 890",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033413",
            "telephone_number": "901-866-8834",
            "fax_number": "901-302-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHU",
        "first_name": "JOYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "MD37771",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "AL",
            "license": "MD.37771",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TN",
            "license": "69764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102612614",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q089003",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL MD",
            "identifier": "MD.37771",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266655",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.