Organization Active NPI

Irfan Ali, MD, PLLC

  • Psychiatry Physician
  • Germantown, TN
National Provider Identifier
1811167802
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
032193 Issued in TN
Legal business name
IRFAN ALI, MD, PLLC
Practice address
1384 Cordova Cove
Suite 1
Germantown, TN 38138-2219
Phone
(901) 753-7700
Fax
(901) 753-7038
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Irfan Ali, M.D.NPI 1235153719
Title
Psychiatrist
Phone
(901) 753-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 032193 TN Primary

Addresses

Primary practice location

1384 Cordova Cove
Suite 1
Germantown, TN 38138-2219

Mailing address

1384 Cordova Cove
Suite 1
Germantown, TN 38138-2219
Phone (901) 753-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080401000896 TN Part B Supplier - Clinic/Group Practice 9133206188 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, TN

National Provider Directory

National Provider Directory

Locations

1384 Cordova Cv
Ste 1
Germantown, TN 38138
Phone (901) 753-7700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1811167802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 CORDOVA COVE",
            "address_2": "SUITE 1",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382219",
            "telephone_number": "901-753-7700",
            "fax_number": "901-753-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 CORDOVA COVE",
            "address_2": "SUITE 1",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382219",
            "telephone_number": "901-753-7700",
            "fax_number": "901-753-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRFAN ALI, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "901-753-7700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "032193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.