Individual provider Active NPI

Robert A. Kerlan, M.D.

  • Gastroenterology Physician
  • Memphis, TN
National Provider Identifier
1881697696
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD006515 Issued in TN
Practice address
6005 Park Ave
Ste 200
Memphis, TN 38119-5212
Phone
(901) 761-2100
Fax
(901) 682-9351
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD006515 TN Primary

Addresses

Primary practice location

6005 Park Ave
Ste 200
Memphis, TN 38119-5212

Mailing address

6005 Park Ave
Ste 200
Memphis, TN 38119-5212
Phone (901) 761-2100

Other identifiers 4

IdentifierTypeStateIssuer
772350OtherUNITED HEALTHCARE
2006169OtherTNBLUE CROSS BLUE SHIELD
2594515002OtherCIGNA
4354403OtherAETNA

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
I20060105000170 TN Practitioner - GastroenterologyPractitioner - Internal Medicine 8426071432

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD006515TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Physician Network, LLC CurrentSince Feb 5, 2018 Accepting new patients
Eric Blakney Current Accepting new patients
Memphis Medical Specialists, Inc Current Accepting new patients

Locations

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

452 Perkins Ext
Memphis, TN 38117
Phone (901) 730-8300

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

6005 Park Ave
Ste 200
Memphis, TN 38119
Phone (901) 761-2100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1881697696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195212",
            "telephone_number": "901-761-2100",
            "fax_number": "901-682-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195212",
            "telephone_number": "901-761-2100",
            "fax_number": "901-682-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERLAN",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD006515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "772350",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2006169",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2594515002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4354403",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.