Active NPI
Kays Nawaf, M.D.
- Anesthesiology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD11204
- Practice address
- 1068 Cresthaven Rd
Suite 150
Memphis, TN 38119-0800 - Phone
- (901) 682-6828
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD11204 | TN | Primary |
Addresses
Primary practice location
1068 Cresthaven Rd
Suite 150
Memphis, TN 38119-0800
Mailing address
PO Box 171181
Memphis, TN 38187-1181
Phone (901) 682-2872
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2008945 | Other | TN | BLUE CROSS |
| 00016884 | Medicaid | MS | |
| 3166159 | Medicaid | TN | |
| 2040384 | Other | TN | UNITED HEALTHCARE |
| 050054453 | Other | RR 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Northcrest Dr
Springfield, TN 37172-3927
Phone (901) 844-1590
2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone (901) 820-7000
435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200
5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-1000
Hospital & facility affiliations
- St Francis Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11204 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelinc Anesthesia II, PLLC | Anesthesiology | Current | Accepting new patients |
| East Memphis Anesthesia Services PLC | Anesthesiology | Current | Accepting new patients |
| Lifelinc Anesthesia VIII PLLC | Anesthesiology | Current | Accepting new patients |
| East Memphis Anesthesia Services, PLLC | Past | Accepting new patients |
Locations
2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000
255 S Pauline St
Memphis, TN 38104
Phone (901) 261-2804
1068 Cresthaven Rd
Ste 150
Memphis, TN 38119
Phone (205) 789-5982
435 2nd St
Newport, TN 37821
Phone (423) 625-2200
100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Springfield, TN
- NPI 1821397233
-
- Anesthesiology Physician
- Newport, TN
- NPI 1679265052
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1578592663
-
- Pain Medicine Physician
- Bartlett, TN
- NPI 1851725162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1952326977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1720011455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 171181",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381871181",
"telephone_number": "901-682-2872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1068 CRESTHAVEN RD",
"address_2": "SUITE 150",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381190800",
"telephone_number": "901-682-6828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAWAF",
"first_name": "KAYS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "MD11204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "2008945",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00016884",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3166159",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2040384",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "050054453",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.