Individual provider Active NPI

Malika Tuli, MD

  • MOHS-Micrographic Surgery Physician
  • Bartlett, TN
National Provider Identifier
1659303444
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD 31221 Issued in TN
Practice address
6644 Summer Knoll Cir
Bartlett, TN 38134-2875
Phone
(901) 372-4545
Fax
(901) 372-4310
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD 31221 TN Primary
Dermatology Physician 207N00000X MD31221 TN

Addresses

Primary practice location

6644 Summer Knoll Cir
Bartlett, TN 38134-2875

Mailing address

6644 Summer Knoll Cir
Bartlett, TN 38134-2875
Phone (901) 372-4545

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
I20100825000052 TN Practitioner - Dermatology 0244354447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Columbia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Dermatology, PCGroup PAC ID 2163474297, 9 clinicians

Practice addresses (Care Compare)

6644 Summer Knoll Cir
Bartlett, TN 38134-2875
Phone (901) 372-4545

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision156
Removal of skin lesions62
Removal of skin cancer1166
Skin biopsy76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31221TNMDDermatology Physician
MD 31221TNMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Dermatology, PC Dermatology CurrentSince Jul 8, 2001 Accepting new patients
University of Virginia Physicians Group Past Accepting new patients

Locations

6644 Summer Knoll Cir
Bartlett, TN 38134
Phone (901) 372-4545

6605 Stage Rd
Ste 2
Bartlett, TN 38134

6570 Stage Rd
Ste 140
Bartlett, TN 38134
Phone (901) 372-4545

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1659303444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6644 SUMMER KNOLL CIR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342875",
            "telephone_number": "901-372-4545",
            "fax_number": "901-372-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6644 SUMMER KNOLL CIR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342875",
            "telephone_number": "901-372-4545",
            "fax_number": "901-372-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULI",
        "first_name": "MALIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TN",
            "license": "MD 31221",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD31221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.