Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MUFADDAL NAJMUDDIN M.D.
NPI 1053725564
Pathology - Anatomic Pathology in Memphis, TN

Active since June 12, 2014PECOS Enrolled
91.41/100
CMS Quality Rating
5959 PARK AVE, MEMPHIS, TN 38119(901) 765-2131 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2026, Jun 6, 2024, Nov 21, 2023 and 3 more (6 updates tracked since 2020).

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

NPI1053725564
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameMUFADDAL NAJMUDDINCredential: M.D.
Location Address5959 PARK AVEMemphis, TN 38119-5200
Mailing Address5959 Park AveMemphis, TN 38119-5200 · (901) 765-2131
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 12, 2014
Last NPPES UpdateOctober 28, 20266 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1053725564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in TN · 71126
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
5959 PARK AVE, Memphis, TN 38119

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.

PECOS PAC ID8820390255
PECOS Enrollment IDI20240828002181, I20240904003038, I20241202000598
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare 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.

Anatomic Pathology & Clinical Pathology
5959 PARK AVE, ATTN: PATHOLOGY DEPT
Memphis, TN 38119
  • Reassigned Medicare billing, Tennessee enrollment
  • 9 clinicians in this Medicare group
Anatomic Pathology & Clinical Pathology
877 JEFFERSON AVE
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 59 clinicians in this Medicare group
Anatomic Pathology & Clinical Pathology
1010 AIRPARK CENTER DR
Nashville, TN 37217
  • Reassigned Medicare billing, Arkansas, Mississippi and Tennessee enrollments
  • 27 clinicians in this Medicare group
Anatomic Pathology & Clinical Pathology
300 PORTLAND ST STE 110
Columbia, MO 65201
  • Reassigned Medicare billing, Missouri enrollment
  • 23 clinicians in this Medicare group
Anatomic Pathology
825 CHALKSTONE AVE, RWMC - PATHOLOGY DEPARTMENT
Providence, RI 02908
  • Reassigned Medicare billing, Massachusetts enrollment
  • 28 clinicians in this Medicare group
Internal Medicine
1 ESSEX CENTER DR
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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
636 services281 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
451 services97 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
144 services113 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
74 services49 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
62 services48 patients
Pathology examination of tissue using a microscope, high complexity 88309
A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.
50 services48 patients

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, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440152
Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County
Emergency services Birthing friendly

St Francis Hospital

Acute Care Hospitals · Memphis, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440183
Location5959 Park AveMemphis, TN 38119 · Shelby County
Emergency services Birthing friendly

Saint Francis Bartlett Medical Center

Acute Care Hospitals · Bartlett, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440228
Location2986 Kate Bond RdBartlett, TN 38133 · Shelby County
Emergency services

Physician 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.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
5959 PARK AVE
MEMPHIS, TN 38119
Radiology (Diagnostic Radiology)
5959 PARK AVE, RADIOLOGY DEPARTMENT
MEMPHIS, TN 38119
Radiology (Diagnostic Radiology)
5959 PARK AVE, RADIOLOGY DEPARTMENT
MEMPHIS, TN 38119
Physician Assistant (Medical)
5959 PARK AVE
MEMPHIS, TN 38119
Specialist/Technologist, Pathology (Medical Technologist)
5959 PARK AVE
MEMPHIS, TN 38119
Rehabilitation Unit
5959 PARK AVE
MEMPHIS, TN 38119
Nurse Anesthetist, Certified Registered
5959 PARK AVE
MEMPHIS, TN 38119
Physical Therapist
5959 PARK AVE
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.