Active NPI
Fareeha Abid, MD
- Nephrology Physician
- Cordova, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 76437
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mittal Kidney and Dialysis PC | Nephrology | Current | Accepting new patients |
| Mittal Kidney and Dialysis | Past | Accepting new patients |
Locations
300 S Walnut Bend Rd
Ste 12
Cordova, TN 38018
Phone (901) 767-0101
Interoperability endpoints
- fabid122018@mskcc.direct-ci.com
- 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.
-
- Nephrology Physician
- Cordova, TN
- NPI 1831201466
-
- Adult Health Clinical Nurse Specialist
- Cordova, TN
- NPI 1750835724
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.