Individual provider Active NPI

Mannu Nayyar, M.D.

  • Cardiovascular Disease Physician
  • Memphis, TN
National Provider Identifier
1689937781
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
59035 Issued in TN
Practice address
3950 New Covington Pike Ste 220
Memphis, TN 38128-2595
Phone
(901) 763-0200
Fax
(901) 516-5370
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 59035 TN
Cardiovascular Disease Physician 207RC0000X 59035 TN Primary
Interventional Cardiology Physician 207RI0011X 33295 MS

Addresses

Primary practice location

3950 New Covington Pike Ste 220
Memphis, TN 38128-2595

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

1880 Old Highway 51 S Ste C
Brighton, TN 38011-8025
Phone (901) 763-0200

Other practice location 2

7460 Wolf River Blvd
Germantown, TN 38138-1760
Phone (901) 763-0200

Other practice location 3

4240 Bethel Rd Ste 201
Olive Branch, MS 38654-8737
Phone (901) 763-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191104001715 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0840439097 Reassigns benefits to 1 organization
I20240911004914 MS Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0840439097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physician Group LLCGroup PAC ID 9537291323, 101 clinicians

Practice addresses (Care Compare)

3950 New Covington Pike
Suite 220
Memphis, TN 38128-2595
Phone (901) 763-0200

4240 Bethel Rd
Suite 201
Olive Branch, MS 38654-8737
Phone (901) 763-0200

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59035TNMDCardiovascular Disease Physician
33295MSMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutherland Cardiology Clinic, P.C. Current Accepting new patients
Specialty Physician Group LLC Cardiovascular Disease CurrentSince Aug 7, 2023 Accepting new patients

Locations

4250 Bethel Rd
Fl 5
Olive Branch, MS 38654
Phone (662) 932-9544

4240 Bethel Rd
Ste 201
Olive Branch, MS 38654

1880 Old Highway 51 S
Ste C
Brighton, TN 38011
Phone (901) 837-7979

7460 Wolf River Blvd
Ste 200
Germantown, TN 38138

7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792

3950 New Covington Pike
Ste 220
Memphis, TN 38128
Phone (901) 516-0829

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

Interoperability endpoints

  • Direct secure messaging: mnayyar30822@mlh.direct-ci.com
  • Direct secure messaging: mannunayyar@sccpc.allscriptsdirect.net

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1689937781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 NEW COVINGTON PIKE STE 220",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282595",
            "telephone_number": "901-763-0200",
            "fax_number": "901-516-5370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 Old Highway 51 S Ste C",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "TN",
            "postal_code": "380118025",
            "country_code": "US",
            "telephone_number": "901-763-0200",
            "fax_number": "901-761-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7460 Wolf River Blvd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381760",
            "country_code": "US",
            "telephone_number": "901-763-0200",
            "fax_number": "901-761-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4240 Bethel Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386548737",
            "country_code": "US",
            "telephone_number": "901-763-0200",
            "fax_number": "901-761-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAYYAR",
        "first_name": "MANNU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "59035",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "59035",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MS",
            "license": "33295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.