Active NPI
Darryl Elefan, M.D.
- Nephrology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 57163
- Practice address
- 6490 Mount Moriah Road Ext Ste 200
Memphis, TN 38115-3841 - Phone
- (304) 720-5000
- Fax
- (304) 720-5003
- NPI assigned
- Aug 20, 2009
- Last updated
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 57163 | TN | Primary |
Addresses
Primary practice location
6490 Mount Moriah Road Ext Ste 200
Memphis, TN 38115-3841
Mailing address
6490 Mount Moriah Road Ext Ste 200
Memphis, TN 38115-3841
Phone (901) 565-0244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25668 | Other | WV | STATE LICENSE |
| 3810027323 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MS, TN
- 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
- Nephrology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
310 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 565-0244
6490 Mount Moriah Rd Ext
Suite 200
Memphis, TN 38115-3841
Phone (901) 565-0244
7318 Southcrest Pkwy
Southaven, MS 38671-4773
Phone (901) 565-0244
Hospital & facility affiliations
- Fresenius Kidney Care Senatobia
- FMC South Airways
- FMC Collierville
- RCG Holly Springs
- RCG Southaven
- Baptist Memorial Hospital
- Baptist Memorial Hospital Desoto
- Methodist Hospitals of Memphis
- St Francis Hospital
- Methodist Healthcare - Olive Branch Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.82 of 100
- Quality
- 55.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Nephrology Consultants PLLC | Nephrology | Current | Accepting new patients |
Locations
1001 E Moultrie Dr
Blytheville, AR 72315
Phone (870) 762-7700
210 Barrow Hill Rd
Forrest City, AR 72335
Phone (870) 630-6484
310 S Rhodes St
West Memphis, AR 72301
Phone (870) 735-5445
1325 Highway 4 E
Holly Springs, MS 38635
Phone (662) 252-6210
7318 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-2548
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
1821 Highway 61 N
Tunica, MS 38676
Phone (601) 357-0012
155 Crescent Dr
Collierville, TN 38017
Phone (901) 861-8041
2047 Highway 51 S
Covington, TN 38019
Phone (901) 475-1555
1200 Farrow Rd
Memphis, TN 38116
Phone (901) 236-4101
1428 Monroe Ave
Memphis, TN 38104
Phone (901) 272-2667
6490 Mount Moriah Road Ext
Ste 102
Memphis, TN 38115
Phone (901) 547-6401
6490 Mount Moriah Road Ext
Ste 200
Memphis, TN 38115
Interoperability endpoints
- delefan25051@mlh.direct-ci.com
- delefan33811@direct.acumenmd.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care Collierville
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Collierville, TN
- NPI 1154433993
Dialysis facility
-
dba Fresenius Medical Care - South Airways
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
- NPI 1407237456
Dialysis facility
-
dba Fresenius Kidney Care Senatobia
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Senatobia, MS
- NPI 1841920865
Dialysis facility
-
dba RCG Southaven
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Southaven, MS
- NPI 1710099544
Dialysis facility
-
dba RCG Holly Springs
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Holly Springs, MS
- NPI 1801908637
Dialysis facility
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1891927182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6490 MOUNT MORIAH ROAD EXT STE 200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381153841",
"telephone_number": "901-565-0244",
"fax_number": "901-565-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6490 MOUNT MORIAH ROAD EXT STE 200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381153841",
"telephone_number": "304-720-5000",
"fax_number": "304-720-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELEFAN",
"first_name": "DARRYL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "57163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "25668",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810027323",
"state": "WV"
}
],
"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 7, 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.