Individual provider Active NPI

Katherine Mittura Dorsett, M.D.

  • Obstetrics & Gynecology Physician
  • Memphis, TN
National Provider Identifier
1720434574
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
61105 Issued in TN
Practice address
6745 Wolf River Blvd.
Memphis, TN 38120
Phone
(901) 767-8442
Fax
(901) 684-6260
NPI assigned
May 11, 2016
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 61105 TN Primary

Addresses

Primary practice location

6745 Wolf River Blvd.
Memphis, TN 38120

Mailing address

8110 N Brother Blvd Ste 200
Bartlett, TN 38133-2760
Phone (901) 255-5221

Other practice location 1

6215 Humphreys Blvd Ste 401
Memphis, TN 38120-2382
Phone (901) 767-8442

Other practice location 2

8110 N Brother Blvd Ste 100
Bartlett, TN 38133-2760
Phone (901) 373-9221

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
I20200626002379 TN Practitioner - Obstetrics/Gynecology 0749571842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Obstetrics and Gynecological Association PCGroup PAC ID 7214918762, 46 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

6215 Humphreys Blvd
Suite 401
Memphis, TN 38120-2382
Phone (901) 682-9222

6745 Wolf River Blvd
Memphis, TN 38120-2386
Phone (901) 767-8442

8059 Stage Hills Blvd
Suite 104
Bartlett, TN 38133-4071
Phone (901) 383-4515

8110 N Brother Blvd
Bartlett, TN 38133-2760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.6 of 100Reported as group
Quality
92.14
Promoting interoperability
100
Improvement activities
40
Cost
76.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61105TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Obstetrics and Gynecological Association PC Obstetrics & Gynecology CurrentSince Aug 3, 2020 Accepting new patients
Womens Health Specialists, PLLC Obstetrics & Gynecology Current Accepting new patients

Locations

6215 Humphreys Blvd
Ste 401
Memphis, TN 38120
Phone (901) 682-9222

6745 Wolf River Blvd
Memphis, TN 38120
Phone (901) 747-8442

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4
  • Direct secure messaging: katherine.dorsett.1@16415.direct.athenahealth.com
  • Direct secure messaging: kdorsett28327@mlh.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1720434574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 N BROTHER BLVD STE 200",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332760",
            "telephone_number": "901-255-5221",
            "fax_number": "901-373-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6745 WOLF RIVER BLVD.",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-767-8442",
            "fax_number": "901-684-6260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6215 Humphreys Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202382",
            "country_code": "US",
            "telephone_number": "901-767-8442",
            "fax_number": "901-684-6260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8110 N Brother Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381332760",
            "country_code": "US",
            "telephone_number": "901-373-9221",
            "fax_number": "901-202-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORSETT",
        "first_name": "KATHERINE",
        "middle_name": "MITTURA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "61105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.