Individual provider Active NPI

Fabliha Anbar Mukit, MD

  • Ophthalmology Physician
  • Memphis, TN
National Provider Identifier
1891324075
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
73539 Issued in TN
Practice address
1068 Cresthaven Rd Ste 400
Memphis, TN 38119-0845
Phone
(901) 448-6650
Fax
(901) 302-2486
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 73539 TN Primary

Addresses

Primary practice location

1068 Cresthaven Rd Ste 400
Memphis, TN 38119-0845

Mailing address

1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Phone (901) 866-8864

Other practice location 1

930 Madison Ave Ste 200
Memphis, TN 38103-3452
Phone (901) 448-6650

Other practice location 2

262 Danny Thomas Pl
Memphis, TN 38105-3678
Phone (901) 595-3300

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
I20250711002463 TN Practitioner - Ophthalmology 4587087911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Univ of Central Florida, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Medical Group IncGroup PAC ID 3173435369, 98 clinicians

Practice addresses (Care Compare)

1068 Cresthaven Rd
Suite 400
Memphis, TN 38119-0845
Phone (901) 448-6650

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73539TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Medical Group, Inc. Ophthalmology CurrentSince Jul 1, 2025 Accepting new patients
Ut Medical Group Inc Ophthalmology CurrentSince Jul 1, 2025 Accepting new patients
St Jude Children'S Research Hospital, Inc. CurrentSince Jul 14, 2025 Accepting new patients

Locations

262 Danny Thomas Pl
Memphis, TN 38105
Phone (888) 226-4343

1068 Cresthaven Rd
Ste 400
Memphis, TN 38119
Phone (901) 448-6650

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024

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 and National Provider Directory roles.

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1891324075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190809",
            "telephone_number": "901-866-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190845",
            "telephone_number": "901-448-6650",
            "fax_number": "901-302-2486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Madison Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033452",
            "country_code": "US",
            "telephone_number": "901-448-6650",
            "fax_number": "901-302-2486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "262 Danny Thomas Pl",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381053678",
            "country_code": "US",
            "telephone_number": "901-595-3300",
            "fax_number": "901-595-3842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKIT",
        "first_name": "FABLIHA",
        "middle_name": "ANBAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "73539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.