NPIMap

Organization Active NPI

Medpac Memphis, PLLC

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1730690900
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD37534 Issued in TN
Legal business name
MEDPAC MEMPHIS, PLLC
Practice address
14 N McLean Blvd
Memphis, TN 38104-2645
Phone
(901) 509-2738
Fax
(901) 509-2740
NPI assigned
Oct 16, 2017
Last updated
Oct 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Authorized official

Name
Mr. Sumeet Singh Chahal
Title
Ceo
Phone
(901) 509-2738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD37534 TN Primary

Addresses

Primary practice location

14 N McLean Blvd
Memphis, TN 38104-2645

Mailing address

14 N McLean Blvd
Memphis, TN 38104-2645
Phone (901) 509-2738

National Provider Directory

National Provider Directory

Locations

14 N McLean Blvd
Memphis, TN 38104
Phone (901) 509-2738

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16699/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1730690900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N MCLEAN BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042645",
            "telephone_number": "901-509-2738",
            "fax_number": "901-509-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N MCLEAN BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042645",
            "telephone_number": "901-509-2738",
            "fax_number": "901-509-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPAC MEMPHIS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "CHAHAL",
        "authorized_official_first_name": "SUMEET",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-509-2738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD37534",
            "primary": true
        }
    ],
    "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 Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.