Individual provider Active NPI

Hugh T Overstreet, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1629085758
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD016668 Issued in TN
Practice address
5374 Estate Office Dr
Suite 2
Memphis, TN 38119-3650
Phone
(901) 683-1999
Fax
(901) 683-1166
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD016668 TN Primary

Addresses

Primary practice location

5374 Estate Office Dr
Suite 2
Memphis, TN 38119-3650

Mailing address

5374 Estate Office Dr
Suite 2
Memphis, TN 38119-3650
Phone (901) 683-1999

Other identifiers 1

IdentifierTypeStateIssuer
110013243OtherTNRAILROAD MEDICARE

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
I20120130000603 TN Practitioner - Internal Medicine 6507034295 Practice locations: Memphis, TN

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD016668TNMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1629085758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5374 ESTATE OFFICE DR",
            "address_2": "SUITE 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193650",
            "telephone_number": "901-683-1999",
            "fax_number": "901-683-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5374 ESTATE OFFICE DR",
            "address_2": "SUITE 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193650",
            "telephone_number": "901-683-1999",
            "fax_number": "901-683-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERSTREET",
        "first_name": "HUGH",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD016668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110013243",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.