Individual provider Active NPI

Ali Azim, M.D

  • Pulmonary Disease Physician
  • Germantown, TN
National Provider Identifier
1780035030
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
65282 Issued in TN
Practice address
2120 Exeter Rd Ste 250
Germantown, TN 38138-3931
Phone
(901) 767-5864
Fax
(901) 767-6591
NPI assigned
Jun 28, 2016
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 29661 MS
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 65282 TN
Pulmonary Disease Physician 207RP1001X 29661 MS
Pulmonary Disease Physician 207RP1001X 65282 TN Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 29661 MS
Sleep Medicine (Internal Medicine) Physician 207RS0012X 65282 TN

Addresses

Primary practice location

2120 Exeter Rd Ste 250
Germantown, TN 38138-3931

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other practice location 1

401 Southcrest Cir Ste 212
Southaven, MS 38671-6721
Phone (662) 349-0488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220810003535 TN Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 4981997848 Reassigns benefits to 1 organization
I20220816003198 MS Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 4981997848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Lung Physicians Foundation, Inc.Group PAC ID 4981876307, 57 clinicians

Practice addresses (Care Compare)

2120 Exeter Rd
Suite 250
Germantown, TN 38138-3931
Phone (901) 767-5864

363 Southcrest Cir
Southaven, MS 38671-4737

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 701-5825

6019 Walnut Grove Rd 4
Memphis, TN 38120-2113
Phone (901) 226-0732

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2980

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
58.38

Merit-based Incentive Payment System (MIPS)

Final score
86.71 of 100Reported as group
Quality
71.4
Promoting interoperability
100
Improvement activities
40
Cost
72.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29661MSMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital Union County, Inc. General Acute Care Hospital CurrentSince Apr 1, 2024 Accepting new patients
Memphis Lung Physicians Foundation, Inc. Critical Care Medicine CurrentSince Jul 1, 2022 Accepting new patients
Memphis Lung Physicians, P.C. Pulmonary Disease Past Accepting new patients

Locations

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

363 Southcrest Cir
Ste 101
Southaven, MS 38671
Phone (662) 349-0755

363 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 349-0488

401 Southcrest Cir
Ste 212
Southaven, MS 38671
Phone (662) 245-5270

2120 Exeter Rd
Ste 250
Memphis, TN 38138
Phone (901) 767-5864

Organizations & group practices 3

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1780035030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXETER RD STE 250",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383931",
            "telephone_number": "901-767-5864",
            "fax_number": "901-767-6591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Southcrest Cir Ste 212",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386716721",
            "country_code": "US",
            "telephone_number": "662-349-0488",
            "fax_number": "662-349-5974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIM",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MS",
            "license": "29661",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "65282",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "29661",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "65282",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MS",
            "license": "29661",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "65282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.