Individual provider Active NPI

M Narapareddy, M.D. PC

  • Specialist
  • Jackson, TN
National Provider Identifier
1982662730
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000030710 Issued in TN
Practice address
221 Sterling Farm Dr
Jackson, TN 38305-5727
Phone
(731) 668-4337
Fax
(731) 661-0124
NPI assigned
May 2, 2006
Last updated
Jul 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000030710 TN Primary

Addresses

Primary practice location

221 Sterling Farm Dr
Jackson, TN 38305-5727

Mailing address

221 Sterling Farm Dr
Jackson, TN 38305-5727
Phone (731) 668-4337

Other identifiers 1

IdentifierTypeStateIssuer
04171284MedicaidTN

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
I20040909001045 TN Practitioner - Internal MedicinePractitioner - Nephrology 5294722088 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000030710TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Experts PLLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

1575 Parr Ave
Ste B
Dyersburg, TN 38024
Phone (731) 286-1510

160 W University Pkwy
Ste C
Jackson, TN 38305
Phone (731) 286-1510

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1982662730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 STERLING FARM DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055727",
            "telephone_number": "731-668-4337",
            "fax_number": "731-661-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 STERLING FARM DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055727",
            "telephone_number": "731-668-4337",
            "fax_number": "731-661-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAPAREDDY",
        "first_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D. PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000030710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04171284",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.