Individual provider Active NPI

Naim Ahmed Memon, M.D.

  • Psychiatry Physician
  • Temple, TX
National Provider Identifier
1972605152
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P7671 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-2040
Phone
(254) 724-2111
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X P7671 TX Primary
Geriatric Psychiatry Physician 2084P0805X MD059827-L PA

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-2040

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmemon640325@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 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
I20040720000934 PA Practitioner - Psychiatry 8628058823 Reassigns benefits to 2 organizations
I20131213000013 TX Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 8628058823 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spindletop MHMR ServicesGroup PAC ID 1658268321, 19 clinicians

Practice addresses (Care Compare)

2750 S 8TH St
Beaumont, TX 77701-7719
Phone (409) 839-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7671TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc Psychiatry CurrentSince Jun 1, 2021 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jun 1, 2021 Accepting new patients
Spindletop MHMR Services CurrentSince Feb 13, 2017 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Spindletop MHMR Services CurrentSince Feb 13, 2017 Accepting new patients
Ut Physicians Psychiatry CurrentSince Aug 20, 2013 Accepting new patients
Ut Physicians CurrentSince Aug 20, 2013 Accepting new patients
Bluebonnet Trails Community MHMR Center Psychiatry CurrentSince Mar 1, 2017 Accepting new patients
Fellowship Health Resources, Inc CurrentSince Oct 22, 2008 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Oct 20, 2014 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Psychiatry CurrentSince Oct 20, 2014 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Mar 1, 2017 Accepting new patients
Philhaven Past Accepting new patients
Elderly Care Counseling Services LLC Past Accepting new patients
Weirton Medical Center Inc Past Accepting new patients

Locations

257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1041 W Bridge St
Ste 5
Phoenixville, PA 19460
Phone (610) 415-9301

24 Albion Rd
Ste 420
Lincoln, RI 02865
Phone (401) 333-3980

5015 S Interstate 35
Austin, TX 78744
Phone (512) 703-1392

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

2750 S 8th St
Bldg A
Beaumont, TX 77701
Phone (409) 839-1002

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

222 E Durdin Dr
Silsbee, TX 77656
Phone (409) 385-6039

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1972605152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765082040",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMON",
        "first_name": "NAIM",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P7671",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD059827-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmemon640325@direct.sw.org",
            "affiliation": "N",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765082040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.