MUFADDAL NAJMUDDIN M.D.
NPI 1053725564
Pathology - Anatomic Pathology in Memphis, TN
About Mufaddal Najmuddin M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUFADDAL NAJMUDDIN M.D. (NPI 1053725564) is an individual anatomic pathology provider in Memphis, Tennessee, licensed in Tennessee (71126) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Regional One Health, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mufaddal Najmuddin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Mufaddal Najmuddin reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Memphis, TN 38119
- Reassigned Medicare billing, Tennessee enrollment
- 9 clinicians in this Medicare group
Memphis, TN 38103
- Reassigned Medicare billing, Tennessee enrollment
- 59 clinicians in this Medicare group
Nashville, TN 37217
- Reassigned Medicare billing, Arkansas, Mississippi and Tennessee enrollments
- 27 clinicians in this Medicare group
Columbia, MO 65201
- Reassigned Medicare billing, Missouri enrollment
- 23 clinicians in this Medicare group
Providence, RI 02908
- Reassigned Medicare billing, Massachusetts enrollment
- 28 clinicians in this Medicare group
Peabody, MA 01960
- Reassigned Medicare billing, Massachusetts enrollment
- 1,841 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 14
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Regional One Health
Acute Care Hospitals · Memphis, TNSt Francis Hospital
Acute Care Hospitals · Memphis, TNSaint Francis Bartlett Medical Center
Acute Care Hospitals · Bartlett, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEMPHIS, TN 38119
MEMPHIS, TN 38119
MEMPHIS, TN 38119
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mufaddal Najmuddin's NPI number?
The NPI number for Mufaddal Najmuddin is 1053725564. It was assigned to this individual provider in the NPPES registry on June 12, 2014.
Where is Mufaddal Najmuddin located?
Mufaddal Najmuddin practices at 5959 Park Ave, Memphis, TN 38119. The listed phone number is (901) 765-2131.
What is Mufaddal Najmuddin's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.
Is Mufaddal Najmuddin enrolled in Medicare?
Yes. Mufaddal Najmuddin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mufaddal Najmuddin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mufaddal Najmuddin reassigns Medicare benefits to 6 organizations: The Pathology Group PC (Memphis, TN), Shelby County Health Care Corporation (Memphis, TN), Associated Pathologists, LLC (Nashville, TN), Boyce & Bynum Pathology Professional Services Inc (Columbia, MO), University Pathologists, LLC (Providence, RI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mufaddal Najmuddin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mufaddal Najmuddin accept?
Health plans from Arkansas Blue Cross and Blue Shield, Cigna Healthcare, Health Advantage, Octave and Oscar Insurance Company and 1 other insurer list Mufaddal Najmuddin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mufaddal Najmuddin affiliated with any hospitals?
According to CMS data, Mufaddal Najmuddin is affiliated with Regional One Health, St Francis Hospital and Saint Francis Bartlett Medical Center.
When was this NPI record last updated?
The NPPES record for Mufaddal Najmuddin was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.