Individual provider Active NPI

Fareeha Abid, MD

  • Nephrology Physician
  • Cordova, TN
National Provider Identifier
1598338014
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
76437 Issued in TN
Practice address
300 S Walnut Bend Rd Ste 12
Cordova, TN 38018-7527
Phone
(901) 799-1123
Fax
(901) 767-0304
NPI assigned
Jul 22, 2021
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Nephrology Physician 207RN0300X 76437 TN Primary
Nephrology Physician 207RN0300X 36948 MS

Addresses

Primary practice location

300 S Walnut Bend Rd Ste 12
Cordova, TN 38018-7527

Mailing address

276 Grand Concourse Apt 1013
Bronx, NY 10451-5850
Phone (908) 994-5420

Other practice location 1

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5420

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
I20260602002674 TN Practitioner - Nephrology 6507337474

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8170 Maple Lawn Blvd
Fulton, MD 20759-2537

PO Box
Nashville, TN 37230

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mittal Kidney and Dialysis PC Nephrology CurrentSince Jul 1, 2026 Accepting new patients
Mittal Kidney and Dialysis PastSince Jul 1, 2026 Accepting new patients

Locations

300 S Walnut Bend Rd
Ste 12
Cordova, TN 38018
Phone (901) 767-0101

Interoperability endpoints

  • Direct secure messaging: fabid122018@mskcc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFDAA

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1598338014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 GRAND CONCOURSE APT 1013",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515850",
            "telephone_number": "908-994-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S WALNUT BEND RD STE 12",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187527",
            "telephone_number": "901-799-1123",
            "fax_number": "901-767-0304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Williamson St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072023625",
            "country_code": "US",
            "telephone_number": "908-994-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABID",
        "first_name": "FAREEHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "76437",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "36948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.