Active NPI
L Darryl Quarles, M.D.
- Nephrology Physician
- Memphis, TN
National Provider Identifier
1912000837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 04-30604
- Practice address
- 956 Court Ave
Memphis, TN 38103-2814 - Phone
- (901) 448-4385
- NPI assigned
- Sep 6, 2006
- 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 | 04-30604 | KS | Primary |
Addresses
Primary practice location
956 Court Ave
Memphis, TN 38103-2814
Mailing address
956 Court Ave
Memphis, TN 38103-2814
Phone (901) 448-4385
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003181810A | Medicaid | GA | |
| 209360106 | Medicaid | MO | |
| 34097019 | Other | MO | BCBS KC |
| 180641001 | Medicaid | AR | |
| 1912000837 | Medicaid | MO | |
| 1515166 | Medicaid | TN | |
| 200264870A | Medicaid | KS | |
| 00453855 | Medicaid | MS | |
| 179834 | Medicaid | AL | |
| 925247 | Other | KS | FIRSTGUARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-30604 | KS | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1912000837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "956 COURT AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032814",
"telephone_number": "901-448-4385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "956 COURT AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032814",
"telephone_number": "901-448-4385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUARLES",
"first_name": "L",
"middle_name": "DARRYL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "KS",
"license": "04-30604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003181810A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209360106",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "34097019",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180641001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912000837",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1515166",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200264870A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00453855",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179834",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTGUARD",
"identifier": "925247",
"state": "KS"
}
],
"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 Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.