RED RIVER MEDICAL GROUP CORPORATION
NPI 1629857248
Internal Medicine in Clarksville, TN
About Red River Medical Group Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RED RIVER MEDICAL GROUP CORPORATION (NPI 1629857248), doing business as Red River Medical Group, is a healthcare organization registered as an internal medicine in Clarksville, Tennessee and active in the NPI registry since September 2023. The organization lists Jigar Kanubhai Shah, Provider/co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Red River Medical Group Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Red River Medical Group Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Clarksville, TN 37043
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 Red River Medical Group Corporation's NPI number?
The NPI number for Red River Medical Group Corporation is 1629857248. It was assigned to this organization in the NPPES registry on September 22, 2023. The provider is doing business as Red River Medical Group.
Where is Red River Medical Group Corporation located?
Red River Medical Group Corporation is located at 1110 A Ted Crozier Sr. Blvd, Clarksville, TN 37043. The listed phone number is (931) 538-3039.
What is Red River Medical Group Corporation's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Red River Medical Group Corporation enrolled in Medicare?
Yes. Red River Medical Group Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Red River Medical Group Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Red River Medical Group Corporation. 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. The largest specialties are Nurse Practitioner (5), Hematology/Oncology (1) and Internal Medicine (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Red River Medical Group Corporation was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Red River Medical Group Corporation · NPI 1629857248
Internal Medicine organization in Clarksville, Tennessee. Organization record, active in the CMS NPPES registry since September 22, 2023.
## Identity
- **NPI:** 1629857248 (Entity type: Organization)
- **Enumerated:** September 22, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** Red River Medical Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jigar Shah, PROVIDER/CO-OWNER
## Practice location
- **Address:** 1110 A TED CROZIER SR. BLVD, Clarksville, TN 37043-8912
- **Phone:** (931) 538-3039 · **Fax:** (931) 245-5484
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Hematology/Oncology (1), Internal Medicine (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629857248) · Data from the CMS NPPES public registry.