NPIMap

Individual provider Active NPI

Minesh Babul Pathak, M.D.

  • Nephrology Physician
  • Memphis, TN
National Provider Identifier
1821299512
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD0000043921 Issued in TN
Practice address
3950 New Covington Pike Ste 300
Memphis, TN 38128-2591
Phone
(901) 382-5256
Fax
(901) 382-3731
NPI assigned
May 30, 2007
Last updated
Jan 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD0000043921 TN Primary

Addresses

Primary practice location

3950 New Covington Pike Ste 300
Memphis, TN 38128-2591

Mailing address

3950 New Covington Pike Ste 300
Memphis, TN 38128-2591
Phone (901) 382-5256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081030000532 TN Practitioner - Internal MedicinePractitioner - Nephrology 1456410810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Consultants, P.C.Group PAC ID 2961577713, 10 clinicians

Practice addresses (Care Compare)

2743 Summer Oaks Dr
Bartlett, TN 38134-2858
Phone (901) 382-5256

6401 Poplar Ave
Suite 520
Memphis, TN 38119-4890
Phone (901) 382-5256

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.22 of 100Reported as individual
Quality
84.1
Improvement activities
40
Cost
75.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000043921TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Consultants, P.C. CurrentSince Dec 16, 2012 Accepting new patients
Heckscher Dialysis LLC PastSince Jun 1, 2017 Accepting new patients
Memphis Neurology PLLC PastSince Aug 1, 2021 Accepting new patients
Mittal Kidney and Dialysis Past Accepting new patients
Kidney Care Center,P.L.L.C. Nephrology Past Accepting new patients
Chesapeake Hospitalists, PC Past Accepting new patients

Locations

2743 Summer Oaks Dr
Bartlett, TN 38134
Phone (901) 371-0200

3950 New Covington Pike
Ste 300
Memphis, TN 38128
Phone (901) 377-2111

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73850
  • Direct secure messaging: minesh.pathak@direct.davitaphysiciansolutions.com
  • Direct secure messaging: mpathak30839@mlh.direct-ci.com

Organizations & group practices 6

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 10

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1821299512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 NEW COVINGTON PIKE STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282591",
            "telephone_number": "901-382-5256",
            "fax_number": "901-382-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 NEW COVINGTON PIKE STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282591",
            "telephone_number": "901-382-5256",
            "fax_number": "901-382-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "MINESH",
        "middle_name": "BABUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "MD0000043921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.