Individual provider Active NPI

Russell D. Beis, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1942256102
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD15534 Issued in TN
Practice address
2829 Lamar Ave.
Memphis, TN 38114-5016
Phone
(901) 345-6700
Fax
(901) 345-6755
NPI assigned
May 26, 2006
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD15534 TN
Internal Medicine Physician 207R00000X MD15534 TN Primary
Occupational Medicine Physician 2083X0100X MD15534 TN

Addresses

Primary practice location

2829 Lamar Ave.
Memphis, TN 38114-5016

Mailing address

2829 Lamar Ave
Memphis, TN 38114-5016
Phone (901) 345-6700

Other practice location 1

1072 Wedgewood St
Memphis, TN 38111-8138
Phone (901) 582-4059

Other identifiers 1

IdentifierTypeStateIssuer
3852978MedicaidTN

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
I20050504000135 TN Practitioner - Internal MedicinePractitioner - Emergency Medicine 2668412248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
University of Tennessee, HSC, College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Honeycomb Medical Group PLCGroup PAC ID 2668837204, 16 clinicians

Practice addresses (Care Compare)

1785 Nonconnah Blvd
Suite 108
Memphis, TN 38132-2139
Phone (901) 344-0101

6401 Poplar Ave
Suite 370
Memphis, TN 38119-4806
Phone (901) 685-8202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15534TNMDInternal Medicine Physician
15543TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honeycomb Medical Group PLC Internal Medicine CurrentSince Nov 5, 2024 Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Shiloh Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Memphis Emergency Room Group, PLLC Emergency Medicine Past Accepting new patients

Locations

2829 Lamar Ave
Memphis, TN 38114
Phone (901) 744-3362

6401 Poplar Ave
Ste 370
Memphis, TN 38119
Phone (901) 685-8202

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

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

Interoperability endpoints

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

Organizations & group practices 5

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 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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1942256102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 LAMAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381145016",
            "telephone_number": "901-345-6700",
            "fax_number": "901-345-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 LAMAR AVE.",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381145016",
            "telephone_number": "901-345-6700",
            "fax_number": "901-345-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1072 Wedgewood St",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381118138",
            "country_code": "US",
            "telephone_number": "901-582-4059",
            "fax_number": "901-726-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEIS",
        "first_name": "RUSSELL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD15534",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD15534",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TN",
            "license": "MD15534",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3852978",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.