Individual provider Active NPI

Umer Farooq, MD

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1780612481
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
V4664 Issued in TX
Practice address
5959 Park Ave
Memphis, TN 38119-5198
Phone
(901) 765-2182
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43746 TN
Internal Medicine Physician 207R00000X 38853 KY
Emergency Medicine Physician 207P00000X E-13275 AR
Internal Medicine Physician 207R00000X V4664 TX Primary

Addresses

Primary practice location

5959 Park Ave
Memphis, TN 38119-5198

Mailing address

2814 Scarlet Rd
Germantown, TN 38139-7902
Phone (901) 846-9881

Other identifiers 3

IdentifierTypeStateIssuer
000751730MedicaidTN
64090608MedicaidKY
P00228570OtherKYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20080711000401 TN Practitioner - Emergency Medicine 6507810074 Reassigns benefits to 6 organizations
I20200522001544 MS Practitioner - Emergency Medicine 6507810074 Reassigns benefits to 2 organizations
I20200914001231 AR Practitioner - Emergency Medicine 6507810074 Reassigns benefits to 1 organization
I20251222003483 TX Practitioner - Emergency Medicine 6507810074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Texas Medicine Resources, LLPGroup PAC ID 5890688212, 255 clinicians

Practice addresses (Care Compare)

2100 N 7TH St
West Memphis, AR 72301-2017
Phone (870) 394-7800

2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (682) 341-5000

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

Hospital & facility affiliations

  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Baptist Memorial Hospital-Crittenden, Inc Hospital, West Memphis, AR, CCN 040156
  • Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V4664TXMDEmergency Medicine Physician
43746TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Am Diabetes Centers of America PLC CurrentSince Apr 25, 2023 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Dec 16, 2012 Accepting new patients
Olive Branch Emergency Physicians LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Oct 12, 2025 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Jackson Hospital Corporation Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800

625 James Trimble Blvd
Paintsville, KY 41240

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

6401 Poplar Ave
Ste 600
Memphis, TN 38119
Phone (901) 474-3530

6401 Poplar Ave
Ste 604
Memphis, TN 38119
Phone (901) 474-2402

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

2300 Lone Star Rd
Mansfield, TX 76063
Phone (682) 341-5000

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1780612481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 SCARLET RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381397902",
            "telephone_number": "901-846-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 PARK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195198",
            "telephone_number": "901-765-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOQ",
        "first_name": "UMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "43746",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "38853",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-13275",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V4664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000751730",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64090608",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00228570",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.