Individual provider Active NPI

Kashif A Latif, M.D.

  • Specialist
  • Bartlett, TN
National Provider Identifier
1902913692
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000026995 Issued in TN
Practice address
3025 Kate Bond Rd
Bartlett, TN 38133-4004
Phone
(901) 384-0065
Fax
(901) 266-1165
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000026995 TN Primary

Addresses

Primary practice location

3025 Kate Bond Rd
Bartlett, TN 38133-4004

Mailing address

PO Box 1000
Dept 913
Memphis, TN 38148-0001
Phone (901) 261-0700

Other practice location 1

6401 Poplar Ave Ste 600
Memphis, TN 38119-4808
Phone (901) 474-3530

Other identifiers 1

IdentifierTypeStateIssuer
3723254MedicaidTN

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
I20040212000556 TN Practitioner - Endocrinology 8820982531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consolidated Medical Practices of Memphis,PLLCGroup PAC ID 1759459845, 113 clinicians

Practice addresses (Care Compare)

6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2584
Phone (901) 261-0700

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Cordova, TN, CCN 447451
  • Adoration Home Health Care West Tennessee Home health agency, Cordova, TN, CCN 447564
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000026995TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Consolidated Medical Practices of Memphis,PLLC CurrentSince Jun 15, 2014 Accepting new patients
Am Diabetes Centers of America PLC CurrentSince Aug 23, 2022 Accepting new patients
Independent Radiology Associates PLC Past Accepting new patients
First Choice Medical Care PLLC PastSince Sep 20, 2024 Accepting new patients

Locations

3025 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 384-0065

2996 Kate Bond Rd
Ste 413
Bartlett, TN 38133
Phone (901) 384-0065

6401 Poplar Ave
Ste 604
Memphis, TN 38119
Phone (901) 474-2402

6401 Poplar Ave
Ste 600
Memphis, TN 38119
Phone (901) 474-3530

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

Organizations & group practices 4

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 8

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1902913692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT 913",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-261-0700",
            "fax_number": "901-261-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 KATE BOND RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334004",
            "telephone_number": "901-384-0065",
            "fax_number": "901-266-1165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 Poplar Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381194808",
            "country_code": "US",
            "telephone_number": "901-474-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATIF",
        "first_name": "KASHIF",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000026995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723254",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.