Individual provider Active NPI

Abhishek Jagdish Patel, M.D.

  • Nephrology Physician
  • Memphis, TN
National Provider Identifier
1992019129
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
58579 Issued in TN
Practice address
6490 Mount Moriah Road Ext Ste 200
Memphis, TN 38115-3841
Phone
(901) 565-0244
Fax
(901) 565-9605
NPI assigned
Jul 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301097376 MI
Nephrology Physician 207RN0300X 58579 TN Primary

Addresses

Primary practice location

6490 Mount Moriah Road Ext Ste 200
Memphis, TN 38115-3841

Mailing address

6490 Mount Moriah Road Ext Ste 200
Memphis, TN 38115-3841
Phone (901) 565-0244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, MS4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190321000500 TN Practitioner - Internal Medicine 6800011420 Reassigns benefits to 1 organization
I20200811003049 AR Practitioner - NephrologyPractitioner - Internal Medicine 6800011420 Reassigns benefits to 1 organization
I20210316002733 MS Practitioner - NephrologyPractitioner - Internal Medicine 6800011420 Reassigns benefits to 1 organization
I20230405000424 TN Practitioner - Nephrology 6800011420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-South Nephrology Consultants PLLC 14 clinicians

Practice addresses (Care Compare)

310 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 565-0244

6490 Mount Moriah Rd Ext
Suite 200
Memphis, TN 38115-3841
Phone (901) 565-0244

7318 Southcrest Pkwy
Southaven, MS 38671-4773
Phone (901) 565-0244

Hospital & facility affiliations

  • FMC Memphis Germantown Dialysis facility, Germantown, TN, CCN 442647
  • FMC Graceland Dialysis facility, Memphis, TN, CCN 442591
  • FKC Wolf River Dialysis facility, Germantown, TN, CCN 442771
  • FMC Bartlett Dialysis facility, Memphis, TN, CCN 442703
  • FMC Memphis Dialysis facility, Memphis, TN, CCN 442569
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141

Merit-based Incentive Payment System (MIPS)

Final score
87.11 of 100Reported as individual
Quality
45.76
Promoting interoperability
100
Improvement activities
40
Cost
85.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58579TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Multi-Specialty CurrentSince Jul 1, 2019 Accepting new patients
Mid-South Nephrology Consultants PLLC Multi-Specialty CurrentSince Apr 3, 2023 Accepting new patients

Locations

902 Holiday Dr
Ste 106
Forrest City, AR 72335
Phone (870) 494-3025

310 S Rhodes St
West Memphis, AR 72301
Phone (870) 735-5445

7318 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-2548

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

2047 Highway 51 S
Covington, TN 38019
Phone (901) 475-1555

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

7640 Wolf River Cir
Fl 2
Memphis, TN 38138
Phone (901) 755-0208

6490 Mount Moriah Road Ext
Ste 200
Memphis, TN 38115

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: apatel51280@direct.acumenmd.com
  • Direct secure messaging: apatel22692@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 11

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": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1992019129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 MOUNT MORIAH ROAD EXT STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153841",
            "telephone_number": "901-565-0244",
            "fax_number": "901-565-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 MOUNT MORIAH ROAD EXT STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153841",
            "telephone_number": "901-565-0244",
            "fax_number": "901-565-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ABHISHEK",
        "middle_name": "JAGDISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-29",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301097376",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "58579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.