Individual provider Active NPI

Mohammed Munir Motiwala, M.D.

  • Internal Medicine Physician
  • Arlington, TN
National Provider Identifier
1790887230
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD28679 Issued in TN
Practice address
11293 Memphis Arlington Rd
Arlington, TN 38002-7978
Phone
(901) 745-7219
Fax
(901) 745-7262
NPI assigned
Sep 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD28679 TN Primary

Addresses

Primary practice location

11293 Memphis Arlington Rd
Arlington, TN 38002-7978

Mailing address

1994 Hamburg CV
Cordova, TN 38016-4002
Phone (901) 745-7219

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
I20130604000066 TN Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4284688821

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28679TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee State F & a Payroll Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790887230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1994 HAMBURG CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164002",
            "telephone_number": "901-745-7219",
            "fax_number": "901-745-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11293 MEMPHIS ARLINGTON RD",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380027978",
            "telephone_number": "901-745-7219",
            "fax_number": "901-745-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTIWALA",
        "first_name": "MOHAMMED",
        "middle_name": "MUNIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD28679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TN

Sources for this page

Verify at the official NPI Registry.