Active NPI
Albert Ndzengue, M.D.
- Nephrology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 52436
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09223372 | Medicaid | MS | |
| 1851692420 | Medicaid | MO | |
| Q022658 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Highland Hills Medical Center
- Baptist Memorial Hospital Tipton
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24459 | MS | MD | Emergency Medicine Physician |
| 266212 | NY | MD | Internal Medicine Physician |
| 52436 | TN | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| T M Carr MD PC | Emergency Medicine | Current | Accepting new patients |
| Relias Emergency Medicine Specialists of Hamilton, LLC | Emergency Medicine | Current | Accepting new patients |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Leonya LLC | Internal Medicine | Current | Accepting new patients |
| Central Mississippi Radiology | Current | Accepting new patients | |
| Eagle Creek Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Greenwood Leflore Hospital | Emergency Medicine | Current | Accepting new patients |
| Copiah County Medical Center | Current | Accepting new patients | |
| Keystone Medical Services of Ms, Inc | Emergency Medicine | Current | Accepting new patients |
| Correct Care, Inc. | Emergency Medicine | Current | 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 | Current | Accepting new patients |
| Relias Emergency Medicine Specialists of West Point, LLC | Emergency Medicine | Current | Accepting new patients |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Greenwood Leflore Hospital | Hospitalist | Current | Accepting new patients |
| Copiah County Medical Center | Current | 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
- albertndzengue@nmhs.medalliesdirect.net
- 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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1922999689
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
-
- Emergency Medicine Physician
- Paris, TN
- NPI 1134627557
-
- Emergency Medicine Physician
- Dyersburg, TN
- NPI 1992706097
-
- Critical Access Hospital
- Hazlehurst, MS
- NPI 1588667281
-
- Hospitalist Physician
- Greenwood, MS
- NPI 1720048440
-
- Emergency Medicine Physician
- Hazlehurst, MS
- NPI 1174691059
-
- Emergency Medicine Physician
- Amory, MS
- NPI 1265074769
-
- Emergency Medicine Physician
- Hamilton, AL
- NPI 1457912297
-
- Emergency Medicine Physician
- West Point, MS
- NPI 1275172736
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
-
- General Acute Care Hospital
- Senatobia, MS
- NPI 1619676251
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.