Individual provider Active NPI

Rada Petrinjac-Nenadic, M.D.

  • Neurology Physician
  • Memphis, TN
National Provider Identifier
1891911954
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD0000043068 Issued in TN
Practice address
5100 Sanderlin Ave
Suite 2100
Memphis, TN 38117-4387
Phone
(901) 820-0141
Fax
(901) 820-0144
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD0000043068 TN Primary

Addresses

Primary practice location

5100 Sanderlin Ave
Suite 2100
Memphis, TN 38117-4387

Mailing address

PO Box 1000 Dept 479
Memphis, TN 38148-0001
Phone (901) 820-0141

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
I20080616000245 TN Practitioner - Neurology 2062583230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Neurology PLLCGroup PAC ID 1355449737, 4 clinicians

Practice addresses (Care Compare)

5100 Sanderlin Ave
Suite 2100
Memphis, TN 38117-4387
Phone (901) 820-0141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.23 of 100Reported as group
Quality
55.38
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000043068TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Neurology PLLC Neurology CurrentSince Jun 1, 2008 Accepting new patients

Locations

5100 Sanderlin Ave
Ste 2100
Memphis, TN 38117
Phone (901) 384-3478

Interoperability endpoints

  • Direct secure messaging: radanenadic@tsn.directglo.com
  • Direct secure messaging: rpetrinjacnenadic13976@direct.bmhcc.org
  • Direct secure messaging: rpetrinjacnenadic32387@mlh.direct-ci.com

Organizations & group practices 1

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1891911954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 479",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-820-0141",
            "fax_number": "901-820-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 SANDERLIN AVE",
            "address_2": "SUITE 2100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174387",
            "telephone_number": "901-820-0141",
            "fax_number": "901-820-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRINJAC-NENADIC",
        "first_name": "RADA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD0000043068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.