Individual provider Active NPI

Darryl Elefan, M.D.

  • Nephrology Physician
  • Memphis, TN
National Provider Identifier
1891927182
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
57163 Issued in TN
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
25668OtherWVSTATE LICENSE
3810027323MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MS, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180830002448 AR Practitioner - Nephrology 4789807611 Reassigns benefits to 1 organization
I20180830002716 MS Practitioner - Nephrology 4789807611 Reassigns benefits to 1 organization
I20181105001630 TN Practitioner - Nephrology 4789807611 Reassigns benefits to 1 organization

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
Mid-South Nephrology Consultants PLLCGroup PAC ID 3971585373, 14 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as individual
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

OrganizationSpecialtyStatusNew patients
Mid-South Nephrology Consultants PLLC Nephrology CurrentSince Sep 1, 2018 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

  • Direct secure messaging: delefan25051@mlh.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.