Active NPI
Debashis Biswas, M.D.
- Neurology Physician
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- M18215
- Practice address
- 97 Stateline Rd E
Southaven, MS 38671-1724 - Phone
- (662) 536-0577
- NPI assigned
- May 24, 2006
- Last updated
- Apr 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08601532 | Medicaid | MS | |
| Q015836 | Medicaid | TN | |
| 4076438 | Other | TN | BCBS OF TENNESSEE |
| 470882104 | Other | UNITED HEALTHCARE | |
| 7486187 | Other | AETNA | |
| 0019896 | Other | CIGNA | |
| 29610 | Other | TLC | |
| 470882104 | Other | TRICARE | |
| 388061 | Medicaid | TN | |
| H19481 | Other | HEALTHSPRINGS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN, AL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| M18215 | MS | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ICU NJ, PC | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| Nuview Telehealth, LLC | Neurology | Current | Accepting new patients |
| North Alabama Neuroservices LLC | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Neurology | Current | Accepting new patients |
| Primary Care Group LLC | Neurology | Past | Accepting new patients |
| Memphis Primary Care & Wellness Associates | Neurology | Past | 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
- dbiswas219345@ummc.direct-ci.com
- 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.
-
- Neurological Surgery Physician
- Florence, AL
- NPI 1639516339
-
dba Baptist Medical Clinics
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Neurology
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1679742944
-
dba Baptist Medical Clinic-Brandon
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
- Internal Medicine Physician
- Germantown, TN
- NPI 1366509721
Neurology
-
- Child & Adolescent Psychiatry Physician
- Philadelphia, PA
- NPI 1700954922
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Alabama Medical Center
- General Acute Care Hospital
- Florence, AL
- NPI 1477874337
-
dba Shoals Hospital
- General Acute Care Hospital
- Muscle Shoals, AL
- NPI 1699096552
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.