Individual provider Active NPI

Shirish Joglekar, MD

  • Nephrology Physician
  • Jackson, TN
National Provider Identifier
1851497648
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD021233 Issued in TN
Practice address
221 Sterling Farm Dr
Jackson, TN 38305-5727
Phone
(731) 668-1199
Fax
(731) 668-9256
NPI assigned
Sep 16, 2006
Last updated
Mar 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD021233 TN
Nephrology Physician 207RN0300X MD021233 TN Primary

Addresses

Primary practice location

221 Sterling Farm Dr
Jackson, TN 38305-5727

Mailing address

221 Sterling Farm Dr
Jackson, TN 38305-5727
Phone (731) 668-1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080630000326 TN Practitioner - NephrologyPractitioner - Internal Medicine 5890788418

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD021233TNMDNephrology Physician
21233TNMDCertified Registered Nurse Anesthetist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1851497648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 STERLING FARM DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055727",
            "telephone_number": "731-668-1199",
            "fax_number": "731-668-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 STERLING FARM DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055727",
            "telephone_number": "731-668-1199",
            "fax_number": "731-668-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOGLEKAR",
        "first_name": "SHIRISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD021233",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "MD021233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.