Memphis Kidney Clinic PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

38346 Issued in TN

Legal business name

MEMPHIS KIDNEY CLINIC PLLC

Practice address

6019 Walnut Grove Road
Memphis, TN 38120

Phone

(901) 652-9699

NPI assigned

Oct 20, 2010

Last updated

Oct 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adnan NaseerNPI 1053379149

Title

President

Phone

(901) 652-9699

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

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.

• Adnan Naseer, MD

  • Nephrology Physician
  • Memphis, TN
  • NPI 1053379149
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1780994921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38646",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381830646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WALNUT GROVE ROAD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-652-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS KIDNEY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "NASEER",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-652-9699"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "38346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memphis Infectious Diseases Consultants, PLLC
• Memphis Internal Medicine and Pediatrics
• Memphis Internal Medicine, PLLC
• Memphis Internist, L.L.C.
• Memphis KG Property, LLC (Pointe at Kirby Gate)
• Memphis Long Term Care Specialty Hospital, LLC (americare long term acute hospital)
• Memphis Lung Physicians, P.C.
• Memphis Medic Transportaion LLC
• Memphis Medical Center Air Ambulance Service, Inc. (Hospital Wing)
• Memphis Medical Specialists, Inc

• Nephrology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Nephrology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.