Mahir R Awdeh, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

10521 Issued in TN

Practice address

6005 Park Avenue
Suite 500 B
Memphis, TN 38119-5215

Phone

(901) 683-6925

Fax

(901) 684-1435

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172
  Medicare reassignment NPD
• Baptist Memorial Hospital-Tipton

  • General Acute Care Hospital
  • Covington, TN
  • NPI 1316901937
  Medicare reassignment NPD
• Memphis Electrocardiographic Physicians PLLC

  • Cardiovascular Disease Physician
  • Memphis, TN
  • NPI 1285874800
  Medicare reassignment NPD
• Saint Francis Physician Network, LLC

  • Family Medicine Physician
  • Covington, TN
  • NPI 1295258002
  Medicare reassignment NPD
• Baptist Memorial Hospital

  dba Baptist Memorial Hospital - Collierville Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Collierville, TN
  • NPI 1184319667
  NPD
• Baptist Memorial Hospital-Tipton

  dba Walnut Grove Plaza Pharmacy #2

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1114464211
  NPD
• Eric Blakney

  dba Eric Blakney DBA Premier Internal Medicine, PC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1063608966
  NPD
• Saint Francis Medical Partners East, LLC

  dba Saint Francis Medical Partners East

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1568778751
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1710934153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVENUE",
            "address_2": "SUITE 500 B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195215",
            "telephone_number": "901-683-6925",
            "fax_number": "901-684-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVENUE",
            "address_2": "SUITE 500 B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195215",
            "telephone_number": "901-683-6925",
            "fax_number": "901-684-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWDEH",
        "first_name": "MAHIR",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "10521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107031001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514379",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8785559",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reuben William Avila, MD
• Stephanie Avila, ATC
• Jerry L. Avington
• Layallie K Awadeh
• Hassan Mahmood Awan, M.D
• Awesome Home Care
• Awesomeliving Comfort Care, LLC
• Brenda Awuah
• Kayla Axelrod, SLP
• German T Ayele, PHARMD

• Cardiovascular Disease Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.