Individual provider Active NPI

Tameez U Din, M.D.

  • Nephrology Physician
  • Memphis, TN
National Provider Identifier
1972592749
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
26104 Issued in TN
Practice address
6005 Park Ave Ste 524B
Memphis, TN 38119-5215
Phone
(901) 684-3955
Fax
(901) 684-3956
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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 26104 TN Primary

Addresses

Primary practice location

6005 Park Ave Ste 524B
Memphis, TN 38119-5215

Mailing address

PO Box 343369
Memphis, TN 38184-3369
Phone (901) 684-3955

Other identifiers 4

IdentifierTypeStateIssuer
4133070OtherTNBLUE CROSS BLUE SHIELD
1517123MedicaidTN
00088008MedicaidMS
138742001MedicaidAR

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
I20040413000047 TN Practitioner - Nephrology 9537153580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6005 Park Ave
Memphis, TN 38119-5215
Phone (901) 684-3955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.84 of 100Reported as individual
Quality
10
Improvement activities
40
Cost
49.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26104TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Center,P.L.L.C. Nephrology CurrentSince Jun 28, 2006 Accepting new patients
Office of Internal Medicine, PC Past Accepting new patients
Kidney Specialists, P.C. PastSince Feb 17, 2009 Accepting new patients

Locations

6005 Park Ave
Ste 722B
Memphis, TN 38119
Phone (901) 683-3631

6005 Park Ave
Ste 524B
Memphis, TN 38119
Phone (901) 440-8318

Interoperability endpoints

  • Direct secure messaging: tdin@yourcarecommunity.org

Organizations & group practices 3

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 4

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1972592749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343369",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381843369",
            "telephone_number": "901-684-3955",
            "fax_number": "901-684-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 524B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195215",
            "telephone_number": "901-684-3955",
            "fax_number": "901-684-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIN",
        "first_name": "TAMEEZ",
        "middle_name": "U",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "26104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4133070",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517123",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00088008",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138742001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.