Active NPI
Patrick S Kulubya, M.D.
- Nephrology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 37342
- Practice address
- 6490 Mount Moriah Road Ext
Suite 200
Memphis, TN 38115-3729 - Phone
- (901) 565-0244
- Fax
- (901) 565-0616
- NPI assigned
- Mar 14, 2006
- Last updated
- Aug 12, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 37342 | TN | Primary |
| Nephrology Physician | 207RN0300X | E3707 | AR | |
| Nephrology Physician | 207RN0300X | 18029 | MS |
Addresses
Primary practice location
6490 Mount Moriah Road Ext
Suite 200
Memphis, TN 38115-3729
Mailing address
6490 Mount Moriah Road Ext
Suite 200
Memphis, TN 38115-3729
Phone (901) 565-0244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AR, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
310 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 565-0244
6490 Mount Moriah Rd Ext
Suite 200
Memphis, TN 38115-3841
Phone (901) 565-0244
7318 Southcrest Pkwy
Southaven, MS 38671-4773
Phone (901) 565-0244
Hospital & facility affiliations
- RCG Southaven
- Fmcna - East Arkansas
- FMC South Airways
- Bma Blytheville
- RCG Tunica
- Baptist Memorial Hospital
- Baptist Memorial Hospital Desoto
- Methodist Healthcare - Olive Branch Hospital
- St Francis Hospital
- Methodist Hospitals of Memphis
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.31 of 100
- Quality
- 52.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3707 | AR | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Nephrology Consultants PLLC | Nephrology | Current | Accepting new patients |
Locations
1001 E Moultrie Dr
Blytheville, AR 72315
Phone (870) 762-7700
210 Barrow Hill Rd
Forrest City, AR 72335
Phone (870) 630-6484
902 Holiday Dr
Ste 106
Forrest City, AR 72335
Phone (870) 494-3025
310 S Rhodes St
West Memphis, AR 72301
Phone (870) 735-5445
363 Southcrest Cir
Ste 301
Southaven, MS 38671
7318 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-2548
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
155 Crescent Dr
Collierville, TN 38017
Phone (901) 861-8041
2047 Highway 51 S
Covington, TN 38019
Phone (901) 475-1555
6490 Mount Moriah Road Ext
Ste 200
Memphis, TN 38115
Interoperability endpoints
- pkulubya31727@mlh.direct-ci.com
- pkulubya33828@direct.acumenmd.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care - South Airways
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
- NPI 1407237456
Dialysis facility
-
dba Bma Blytheville
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Blytheville, AR
- NPI 1699887455
Dialysis facility
-
dba Bma East Arkansas
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- West Memphis, AR
- NPI 1821100678
Dialysis facility
-
dba RCG Southaven
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Southaven, MS
- NPI 1710099544
Dialysis facility
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1720057714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6490 MOUNT MORIAH ROAD EXT",
"address_2": "SUITE 200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381153729",
"telephone_number": "901-565-0244",
"fax_number": "901-565-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6490 MOUNT MORIAH ROAD EXT",
"address_2": "SUITE 200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381153729",
"telephone_number": "901-565-0244",
"fax_number": "901-565-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULUBYA",
"first_name": "PATRICK",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "37342",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AR",
"license": "E3707",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MS",
"license": "18029",
"primary": false
}
],
"identifiers": [],
"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 Aug 12, 2010; 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.