Individual provider Active NPI

Debashis Biswas, M.D.

  • Neurology Physician
  • Southaven, MS
National Provider Identifier
1831144039
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
M18215 Issued in MS
Practice address
97 Stateline Rd E
Southaven, MS 38671-1724
Phone
(662) 536-0577
NPI assigned
May 24, 2006
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 37773 TN
Neurology Physician 2084N0400X M18215 MS Primary

Addresses

Primary practice location

97 Stateline Rd E
Southaven, MS 38671-1724

Mailing address

6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700

Other practice location 1

1225 N State St
Jackson, MS 39202-2064
Phone (601) 988-5281

Other identifiers 10

IdentifierTypeStateIssuer
08601532MedicaidMS
Q015836MedicaidTN
4076438OtherTNBCBS OF TENNESSEE
470882104OtherUNITED HEALTHCARE
7486187OtherAETNA
0019896OtherCIGNA
29610OtherTLC
470882104OtherTRICARE
388061MedicaidTN
H19481OtherHEALTHSPRINGS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, AL, NJ4 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
I20040630000319 MS Practitioner - Neurology 0840277620 Reassigns benefits to 2 organizations
I20080530000044 TN Practitioner - Neurology 0840277620 Reassigns benefits to 1 organization
I20160706002251 AL Practitioner - Neurology 0840277620 Reassigns benefits to 1 organization
I20250314002102 NJ Practitioner - Neurology 0840277620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians
North Alabama Neuroservices LLCGroup PAC ID 4789826348, 11 clinicians
ICU NJ PCGroup PAC ID 4082836697, 21 clinicians

Practice addresses (Care Compare)

110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 471-2500

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 980-6214

355 Grand St
Jersey City, NJ 07302-4321
Phone (561) 299-3667

426 E Dr Hicks Blvd
Florence, AL 35630-5763
Phone (256) 980-6214

54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (561) 299-3667

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M18215MSMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ICU NJ, PC CurrentSince Mar 11, 2025 Accepting new patients
Medical Foundation of Central Ms CurrentSince Mar 11, 2024 Accepting new patients
Nuview Telehealth, LLC Neurology CurrentSince May 23, 2024 Accepting new patients
North Alabama Neuroservices LLC CurrentSince Apr 23, 2016 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Neurology CurrentSince Mar 11, 2024 Accepting new patients
Primary Care Group LLC Neurology Past Accepting new patients
Memphis Primary Care & Wellness Associates Neurology PastSince Mar 20, 2013 Accepting new patients
Neurology Associates LTD Past Accepting new patients

Locations

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

426 E Dr Hicks Blvd
Florence, AL 35630
Phone (256) 764-7721

203 Avalon Ave
Ste 200
Muscle Shoals, AL 35661
Phone (256) 386-1130

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

100 Charles Ewing Blvd
Ste 160
Trenton, NJ 08628
Phone (212) 878-7685

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

Interoperability endpoints

  • Direct secure messaging: dbiswas219345@ummc.direct-ci.com
  • Direct secure messaging: debashis.biswas.1@6269.direct.athenahealth.com

Organizations & group practices 9

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 2

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1831144039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202300",
            "telephone_number": "901-522-7700",
            "fax_number": "662-536-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 STATELINE RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711724",
            "telephone_number": "662-536-0577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-988-5281",
            "fax_number": "901-974-6241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISWAS",
        "first_name": "DEBASHIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "37773",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "M18215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08601532",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q015836",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "4076438",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "470882104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7486187",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0019896",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC",
            "identifier": "29610",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "470882104",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388061",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRINGS",
            "identifier": "H19481",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.