Individual provider Active NPI

Inderjeet Singh Brar, M.D.

  • Infectious Disease Physician
  • Memphis, TN
National Provider Identifier
1558777821
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
58539 Issued in TN
Practice address
6029 Walnut Grove Rd Ste 209
Memphis, TN 38120-2112
Phone
(901) 681-0778
Fax
(901) 821-9987
NPI assigned
Jul 8, 2014
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 58539 TN Primary

Addresses

Primary practice location

6029 Walnut Grove Rd Ste 209
Memphis, TN 38120-2112

Mailing address

6027 Walnut Grove Rd Ste 312
Memphis, TN 38120-2128
Phone (901) 681-0778

Other identifiers 2

IdentifierTypeStateIssuer
004055792MedicaidMS
Q049056MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190417002272 TN Practitioner - Infectious DiseasePractitioner - Internal Medicine 6103124136 Reassigns benefits to 1 organization
I20190529000308 MS Practitioner - Infectious DiseasePractitioner - Internal Medicine 6103124136 Reassigns benefits to 1 organization
I20231017001107 IL Practitioner - Infectious Disease 6103124136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 E Woodfield Rd
Suite 760
Schaumburg, IL 60173-5109
Phone (888) 220-6432

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC Infectious Disease CurrentSince Oct 3, 2023 Accepting new patients
Mid-South Infectious Disease Associates, PLLC Infectious Disease CurrentSince Mar 1, 2019 Accepting new patients
Metro Infectious Disease Consultants LLC Infectious Disease CurrentSince Oct 3, 2023 Accepting new patients
Advanced Kidney Care PastSince Feb 14, 2013 Accepting new patients

Locations

400 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 226-8100

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

1435 N Randall Rd
Ste 404
Elgin, IL 60123
Phone (847) 741-5091

519 E Lincoln Hwy
New Lenox, IL 60451

1701 E Woodfield Rd
Ste 760
Schaumburg, IL 60173

1951 McConnor Pkwy
Ste 1
Schaumburg, IL 60173

401 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 772-4000

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

6027 Walnut Grove Rd
Ste 312
Memphis, TN 38120
Phone (901) 681-0778

6029 Walnut Grove Rd
Ste 209
Memphis, TN 38120
Phone (901) 681-0778

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 6

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": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1558777821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 WALNUT GROVE RD STE 312",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202128",
            "telephone_number": "901-681-0778",
            "fax_number": "901-821-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD STE 209",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202112",
            "telephone_number": "901-681-0778",
            "fax_number": "901-821-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAR",
        "first_name": "INDERJEET",
        "middle_name": "SINGH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TN",
            "license": "58539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004055792",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q049056",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.