Faris Al-Gebory, M.D.
Individual provider Active NPI Surgery Physician · Memphis, TN
NPI 1851421705 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1851421705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 61934 (TN)
- Practice address
- 1325 Eastmoreland Ave Ste 310
Memphis, TN 38104-7544 - Phone
- (901) 758-7970
- Fax
- (901) 266-6425
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ut Methodist Physicians LLC
Las Cruces Physician Practices, LLC
Practice addresses (Care Compare)
1325 Eastmoreland Ave
Suite 310
Memphis, TN 38104-7544
Phone (901) 272-6010
2530 S Telshor Blvd
Suite 103
Las Cruces, NM 88011-4974
Phone (575) 556-6400
Hospital & facility affiliations
- Methodist Hospitals of Memphis
- Lauderdale Community Hospital
- Memorial Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201208000769 | TN | Practitioner - General Surgery | 7416054549 | Reassigns benefits to 3 organizations |
| I20260116000076 | NM | Practitioner - General Surgery | 7416054549 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036131427 | IL | MD | Surgery Physician |
| MD11328 | RI | MD | Surgery Physician |
| 61934 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roosevelt County Special Hospital District | Surgery | Current |
Accepting new patients |
| Ut Methodist Physicians LLC | Surgery | Current |
Accepting new patients |
| Roosevelt County Special Hospital District | Current |
Accepting new patients | |
| Medical Care LLC | Past | Accepting new patients | |
| Poplar Bluff Hma Physician Management, LLC | Surgery | Past | Accepting new patients |
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Envision Eye Specialists PC | Past | Accepting new patients | |
| Missouri Em-I Medical Services, P.C. | Past | Accepting new patients | |
| Faris Al-Gebory MD | Surgery | Past |
Accepting new patients |
| Prevention First LLC | Past |
Accepting new patients |
Locations
233 Fairway Ter N
Ste B
Clovis, NM 88101
Phone (575) 762-7779
42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627
7655 Poplar Ave
Ste 240
Germantown, TN 38138
Phone (901) 758-7970
7655 Poplar Ave
Bldg A
Germantown, TN 38138
Phone (901) 758-7970
1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785
1325 Eastmoreland Ave
Ste 310
Memphis, TN 38104
Phone (901) 272-6010
1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954
Interoperability endpoints
- falgebory45547@mlh.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2008032789 | MO | |
| Surgery Physician | 208600000X | 036131427 | IL | |
| Surgery Physician | 208600000X | MD11328 | RI | |
| Surgery Physician | 208600000X | 61934 | TN | Yes |
Addresses
Primary practice location
1325 Eastmoreland Ave Ste 310
Memphis, TN 38104-7544
Mailing address
12236 Winrock Dr
Saint Louis, MO 63141-6642
Phone (314) 432-5144
Other practice location 1
500 W Court St
Kankakee, IL 60901-3661
Phone (815) 928-6131
Other practice location 2
763 S New Ballas Rd
Suite 350
Saint Louis, MO 63141-8704
Phone (314) 432-5144
Other practice location 3
7655 Poplar Ave Ste 240
Germantown, TN 38138-3957
Phone (901) 758-7970
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851421705 | Medicaid | MO |
Other providers in Memphis, TN
- Mohammad Ibrahim Al Alawneh
- Ayman Al Dayeh
- Angela Imad Al Harir
- Zubaidah Al Hayali
- Zebin Mohammad Al Zebin
- Maha Al-Khawaja
- Abdullah Al-Rashdan
- Basil Al-Sabeq
- Hiba Naser Al-Zubeidi
- Alan Michael Alabaster
All providers in Memphis, TN · Surgery Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.