Individual provider Active NPI

Austin Lawrence Dalgo, M.D.

  • General Practice Physician
  • Memphis, TN
National Provider Identifier
1609166016
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
51976 Issued in TN
Practice address
870 E McLemore Ave
Memphis, TN 38106-3218
Phone
(901) 448-2200
Fax
(901) 448-8485
NPI assigned
Apr 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 51976 TN
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 51976 TN
Pediatric Hospice and Palliative Medicine Physician 2080H0002X 51976 TN
General Practice Physician 208D00000X 51976 TN Primary

Addresses

Primary practice location

870 E McLemore Ave
Memphis, TN 38106-3218

Mailing address

1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Phone (901) 866-8864

Other practice location 1

3358 S 3rd St
Memphis, TN 38109-2944
Phone (901) 448-8200

Other practice location 2

534 N 2nd St
Memphis, TN 38105-1632
Phone (901) 448-1956

Other practice location 3

9380 Highway 128
Savannah, TN 38372-5510
Phone (731) 925-3441

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
I20150317002732 TN Practitioner - Pediatric MedicinePractitioner - General Practice 3274850995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Practice
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Medical Group IncGroup PAC ID 3173435369, 98 clinicians

Practice addresses (Care Compare)

870 E McLemore Ave
Memphis, TN 38106-3218
Phone (901) 448-2200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51976TNMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Medical Group, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Ut Medical Group Inc Hospice and Palliative Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

1407 Union Ave
Ste 200
Memphis, TN 38104
Phone (901) 866-8360

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

870 E McLemore Ave
Memphis, TN 38106
Phone (901) 448-2200

534 N 2nd St
Memphis, TN 38105
Phone (901) 448-1956

848 Adams Ave
Memphis, TN 38103
Phone (901) 287-5437

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

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

3358 S 3rd St
Memphis, TN 38109
Phone (901) 448-8200

9380 Highway 128
Savannah, TN 38372
Phone (731) 412-4491

Interoperability endpoints

  • Direct secure messaging: austin.dalgo.1@19267.direct.athenahealth.com
  • Direct secure messaging: adalgo633637@direct.bmhcc.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1609166016",
    "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",
            "telephone_number": "901-866-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 E MCLEMORE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381063218",
            "telephone_number": "901-448-2200",
            "fax_number": "901-448-8485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3358 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381092944",
            "country_code": "US",
            "telephone_number": "901-448-8200",
            "fax_number": "901-448-8485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "534 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381051632",
            "country_code": "US",
            "telephone_number": "901-448-1956",
            "fax_number": "901-448-9696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9380 Highway 128",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "TN",
            "postal_code": "383725510",
            "country_code": "US",
            "telephone_number": "731-925-3441",
            "fax_number": "731-925-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALGO",
        "first_name": "AUSTIN",
        "middle_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TN",
            "license": "51976",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TN",
            "license": "51976",
            "primary": false
        },
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "TN",
            "license": "51976",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "51976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.