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MID-SOUTH CARDIOVASCULAR CENTER, LLC
NPI 1124171590
Internal Medicine - Cardiovascular Disease in Memphis, TN

Active since January 19, 2007
4066 SUMMER AVE, MEMPHIS, TN 38122(901) 725-2222(901) 725-1133 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mid-south Cardiovascular Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-SOUTH CARDIOVASCULAR CENTER, LLC (NPI 1124171590) is a healthcare organization registered as a cardiovascular disease in Memphis, Tennessee and active in the NPI registry since January 2007. The organization lists Someswara Reddy Karri, President, as its authorized official.

NPPES Registry Identity

NPI1124171590
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameMID-SOUTH CARDIOVASCULAR CENTER, LLC
Location Address4066 SUMMER AVEMemphis, TN 38122-5262
Mailing AddressPo Box 382668Germantown, TN 38183-2668 · (901) 725-2222 · Fax (901) 725-1133
Phone(901) 725-2222
Fax(901) 725-1133
Organization SubpartNo
Authorized OfficialSomeswara Reddy KarriPresident · (901) 725-2222
Enumeration DateJanuary 19, 2007
Last NPPES UpdateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1124171590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TN · 35778
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4066 SUMMER AVE, Memphis, TN 38122
Open in Google Maps ↗

Other Identifiers 4

Medicaid20573241MO
Medicaid99220AR
Medicaid3869275TN
Medicaid00125364MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid-south Cardiovascular Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mid-South Cardiovascular Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Someswara Karri, M.D.
Cardiovascular Disease (Cardiology)
NPI 1841224300
4066 SUMMER AVE
Memphis, TN 38122
(901) 725-2222
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mid-South Cardiovascular Center, LLC's NPI number?

The NPI number for Mid-South Cardiovascular Center, LLC is 1124171590. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Mid-South Cardiovascular Center, LLC located?

Mid-South Cardiovascular Center, LLC is located at 4066 Summer Ave, Memphis, TN 38122. The listed phone number is (901) 725-2222.

What is Mid-South Cardiovascular Center, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mid-South Cardiovascular Center, LLC enrolled in Medicare?

Yes. Mid-South Cardiovascular Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-South Cardiovascular Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Mid-South Cardiovascular Center, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mid-South Cardiovascular Center, LLC was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.