Individual provider Active NPI

Farrukh Gill, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
National Provider Identifier
1992949309
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
49164 Issued in TN
Practice address
930 Madison Ave Ste 500
Memphis, TN 38103-3410
Phone
(901) 448-8013
NPI assigned
Apr 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 49164 TN Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 45662 KY

Addresses

Primary practice location

930 Madison Ave Ste 500
Memphis, TN 38103-3410

Mailing address

1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Phone (901) 866-8864

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
I20121025000424 TN Practitioner - Pathology 9739339110 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Group PCGroup PAC ID 9739153354, 17 clinicians
Shelby County Health Care CorporationGroup PAC ID 6608784855, 35 clinicians

Practice addresses (Care Compare)

7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1778
Phone (901) 767-8158

877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-7100

880 Madison Ave
Memphis, TN 38103-3409
Phone (901) 545-7259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49164TNMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Group PC Current Accepting new patients
Ut Medical Group, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Urology Group PC CurrentSince May 1, 2025 Accepting new patients
Shelby County Health Care Corporation Anatomic Pathology & Clinical Pathology CurrentSince Apr 18, 2016 Accepting new patients
Ut Medical Group Inc Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2016 Accepting new patients
Urology Group, PC CurrentSince May 1, 2025 Accepting new patients
Shelby County Health Care Corporation CurrentSince Apr 18, 2016 Accepting new patients
Associated Pathologists LLC Past Accepting new patients
Pathgroup Labs, LLC Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

7550 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 542-6800

1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024

930 Madison Ave
Ste 500
Memphis, TN 38103
Phone (901) 448-6710

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

Interoperability endpoints

  • Direct secure messaging: fgill26140@mlh.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1992949309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190809",
            "telephone_number": "901-866-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MADISON AVE STE 500",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033410",
            "telephone_number": "901-448-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "FARRUKH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "49164",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "45662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.