The Heart Center of Memphis PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD0000028889 Issued in TN

Legal business name

THE HEART CENTER OF MEMPHIS PLLC

Practice address

1211 Union Ave
Suite 495
Memphis, TN 38104-6638

Phone

(901) 507-6600

Fax

(901) 507-6599

NPI assigned

Jan 3, 2007

Last updated

Oct 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahid Khan, MDNPI 1417968314

Title

Owner

Phone

(901) 821-0338

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72099

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahid I Khan, MD

  • Cardiovascular Disease Physician
  • Memphis, TN
  • NPI 1417968314
  Medicare reassignment Care Compare group NPD Authorized official
• Anum Abbas, PA

  • Physician Assistant
  • Memphis, TN
  • NPI 1548048671
  Medicare reassignment Care Compare group
• Clare Wilks Vawter Tubre

  • Family Nurse Practitioner
  • Germantown, TN
  • NPI 1033880109

  Multi-Specialty

  Medicare reassignment NPD
• Courtney Berger, PA-C

  • Physician Assistant
  • Memphis, TN
  • NPI 1558090977
  Medicare reassignment
• Sara K Tsegay

  • Physician Assistant
  • Nashville, TN
  • NPI 1427729185
  Medicare reassignment
• Mallory Quinn De Boom, PA

  • Physician Assistant
  • Saint Paul, MN
  • NPI 1801540646

  TN

  Medicare reassignment

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1578620803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2044",
            "address_2": "DEPT 4300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381012044",
            "telephone_number": "901-507-6600",
            "fax_number": "901-507-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE",
            "address_2": "SUITE 495",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046638",
            "telephone_number": "901-507-6600",
            "fax_number": "901-507-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART CENTER OF MEMPHIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-821-0338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD0000028889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723803",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.