Individual provider Active NPI

Albert Ndzengue, M.D.

  • Nephrology Physician
  • Memphis, TN
National Provider Identifier
1851692420
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
52436 Issued in TN
Practice address
877 Jefferson Ave
Memphis, TN 38103
Phone
(901) 545-7100
NPI assigned
Nov 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 266212 NY
Nephrology Physician 207RN0300X 52436 TN Primary
Emergency Medicine Physician 207P00000X 24459 MS
Internal Medicine Physician 207R00000X 266212 NY
Internal Medicine Physician 207R00000X 52436 TN
Hospitalist Physician 208M00000X 266212 NY
Hospitalist Physician 208M00000X 52436 TN

Addresses

Primary practice location

877 Jefferson Ave
Memphis, TN 38103

Mailing address

2032 Wellesley Pine CV
Germantown, TN 38138

Other identifiers 3

IdentifierTypeStateIssuer
09223372MedicaidMS
1851692420MedicaidMO
Q022658MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, AL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160720002585 MS Practitioner - Internal Medicine 2668607227 Reassigns benefits to 7 organizations
I20160825000397 TN Practitioner - Internal MedicinePractitioner - Nephrology 2668607227 Reassigns benefits to 4 organizations
I20200928001247 AL Practitioner - Internal Medicine 2668607227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwood Leflore HospitalGroup PAC ID 1153399472, 16 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

1401 River Rd
Greenwood, MS 38930-4030
Phone (662) 459-2603

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

Hospital & facility affiliations

  • Greenwood Leflore Hospital Hospital, Greenwood, MS, CCN 250099
  • Highland Hills Medical Center Hospital, Senatobia, MS, CCN 250172
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24459MSMDEmergency Medicine Physician
266212NYMDInternal Medicine Physician
52436TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Aug 12, 2022 Accepting new patients
Relias Emergency Medicine Specialists of Hamilton, LLC Emergency Medicine CurrentSince Sep 25, 2020 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 6, 2023 Accepting new patients
Leonya LLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Central Mississippi Radiology Current Accepting new patients
Eagle Creek Emergency Group, PC Emergency Medicine CurrentSince Dec 6, 2021 Accepting new patients
Greenwood Leflore Hospital Emergency Medicine CurrentSince Jun 6, 2023 Accepting new patients
Copiah County Medical Center CurrentSince Nov 1, 2022 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Copiah County Medical Center Current Accepting new patients
Sunder Jagwani MD PA Current Accepting new patients
Relias Emergency Medicine Specialists of Amory, LLC Emergency Medicine CurrentSince Mar 18, 2024 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC Emergency Medicine CurrentSince Oct 29, 2022 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Greenwood Leflore Hospital Hospitalist CurrentSince Jun 1, 2023 Accepting new patients
Copiah County Medical Center CurrentSince Nov 1, 2022 Accepting new patients
Greenwood Leflore Hospital Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients

Locations

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603

1401 River Rd
Rm 442
Greenwood, MS 38930
Phone (662) 459-7149

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

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

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3298 S 3rd St
Memphis, TN 38109
Phone (901) 306-4122

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

Interoperability endpoints

  • Direct secure messaging: albertndzengue@nmhs.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDHJDD/Endpoint/IDHJDD

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 4

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": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1851692420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 WELLESLEY PINE CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38103",
            "telephone_number": "901-545-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDZENGUE",
        "first_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-12",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "266212",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "52436",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "24459",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "266212",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "52436",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "266212",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "52436",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09223372",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851692420",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q022658",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.