Individual provider Active NPI

Raymond Osarogiagbon, MD

  • Hematology & Oncology Physician
  • Memphis, TN
National Provider Identifier
1831181247
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
39287 Issued in TN
Practice address
80 Humphreys Center Dr Ste 330
Memphis, TN 38120-2363
Phone
(901) 752-6131
Fax
(901) 751-6170
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 18819 MS
Hematology & Oncology Physician 207RH0003X 39287 TN Primary

Addresses

Primary practice location

80 Humphreys Center Dr Ste 330
Memphis, TN 38120-2363

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other practice location 1

391 Southcrest Cir Ste 101
Southaven, MS 38671-4848
Phone (662) 349-0755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050119000872 TN Practitioner - Hematology/Oncology 9335198050 Reassigns benefits to 2 organizations
I20050329000947 MS Practitioner - Hematology/Oncology 9335198050 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Memorial Hospital-TiptonGroup PAC ID 6709878614, 29 clinicians

Practice addresses (Care Compare)

1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 476-2621

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (601) 534-7631

6029 Walnut Grove Rd
Suite 301
Memphis, TN 38120-2112
Phone (901) 747-9087

80 Humphreys Ctr Dr
Suite 330And340
Memphis, TN 38120-2353
Phone (901) 752-6170

8970 Winchester Rd
Memphis, TN 38125-8231
Phone (901) 794-5806

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
58.38

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Merit-based Incentive Payment System (MIPS)

Final score
81.74 of 100Reported as group
Quality
68.68
Promoting interoperability
100
Improvement activities
40
Cost
59.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18819MSMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital North Mississippi, Inc CurrentSince Apr 1, 2017 Accepting new patients
Baptist Memorial Hospital-Tipton CurrentSince Nov 13, 2018 Accepting new patients
Baptist Memorial Hospital Union County, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Baptist Memorial Hospital-Desoto, Inc, CurrentSince Oct 1, 2019 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc CurrentSince Apr 1, 2017 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Dec 1, 2017 Accepting new patients
Baptist Memorial Medical Group Inc Hematology & Oncology CurrentSince Dec 1, 2017 Accepting new patients
Baptist Memorial Hospital-Desoto, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Baptist Memorial Hospital-Tipton CurrentSince Nov 13, 2018 Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

504 Azalea Dr
Ste A
Oxford, MS 38655
Phone (662) 236-7738

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

7900 Airways Blvd
Bldg B
Southaven, MS 38671
Phone (662) 349-2442

391 Southcrest Cir
Ste 101
Southaven, MS 38671
Phone (662) 349-0356

7900 Airways Blvd
Bldg B100
Southaven, MS 38671
Phone (662) 349-2442

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

2996 Kate Bond Rd
Ste 100
Bartlett, TN 38133
Phone (901) 383-5570

2996 Kate Bond Rd
Ste 207
Bartlett, TN 38133
Phone (901) 379-0532

1500 W Poplar Ave
Ste 308
Collierville, TN 38017
Phone (901) 861-8550

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

1700 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 286-1115

440 Wilkinson Dr
Dyersburg, TN 38024
Phone (731) 285-2211

7945 Wolf River Blvd
Ste 300
Germantown, TN 38138
Phone (901) 752-6131

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

80 Humphreys Center Dr
Ste 330
Memphis, TN 38120
Phone (901) 752-6131

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

6027 Walnut Grove Rd
Ste 206
Memphis, TN 38120
Phone (901) 226-5151

6029 Walnut Grove Rd
Ste 301
Memphis, TN 38120
Phone (901) 747-9081

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

6029 Walnut Grove Rd
Ste 305
Memphis, TN 38120
Phone (901) 226-0533

Interoperability endpoints

  • Direct secure messaging: rosarogiagbon32378@mlh.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1831181247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER DR STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202363",
            "telephone_number": "901-752-6131",
            "fax_number": "901-751-6170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 Southcrest Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714848",
            "country_code": "US",
            "telephone_number": "662-349-0755",
            "fax_number": "662-349-0356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSAROGIAGBON",
        "first_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MS",
            "license": "18819",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "39287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.