Individual provider Active NPI

Sam Delk, M.D

  • Surgery Physician
  • Memphis, TN
National Provider Identifier
1922026707
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
37329 Issued in TN
Practice address
1325 Eastmoreland Ave Ste 440
Memphis, TN 38104-7554
Phone
(901) 725-0421
Fax
(901) 278-4675
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 37329 TN Primary

Addresses

Primary practice location

1325 Eastmoreland Ave Ste 440
Memphis, TN 38104-7554

Mailing address

PO Box 126
Memphis, TN 38101-0126
Phone (901) 757-2345

Other identifiers 3

IdentifierTypeStateIssuer
3003101MedicaidTN
0037329OtherTNBLUE CROSS BLUE SHIELD
114202001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040803000874 MS Practitioner - General Surgery 8022089143 Practice locations: Southaven, MS
I20111110000537 TN Practitioner - General Surgery 8022089143 Practice locations: Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Meharry Medical College School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

176 S Bellevue Blvd
Suite 505
Memphis, TN 38104-3400
Phone (901) 725-0421

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue260
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7968TNMDSpeech-Language Pathologist
37329TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sam Delk Surgery CurrentSince Jan 1, 1990 Accepting new patients
Tri-State Neurology PLLC Past Accepting new patients

Locations

176 S Bellevue Blvd
Ste 505
Memphis, TN 38104
Phone (901) 725-0421

Interoperability endpoints

  • Direct secure messaging: sdelk32844@mlh.direct-ci.com

Organizations & group practices 2

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 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1922026707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381010126",
            "telephone_number": "901-757-2345",
            "fax_number": "901-757-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE STE 440",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047554",
            "telephone_number": "901-725-0421",
            "fax_number": "901-278-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELK",
        "first_name": "SAM",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "37329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003101",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0037329",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114202001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.