ZACHARY B SELF M.D.
NPI 1639326010
Family Medicine in Memphis, TN
About Zachary B Self M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACHARY B SELF M.D. (NPI 1639326010) is an individual family medicine provider in Memphis, Tennessee, licensed in Tennessee (46790) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses 2
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
Zachary B Self 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
3Medicare enrollment records show Zachary Self reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ventura, CA 93003
- Reassigned Medicare billing, California enrollment
- 62 clinicians in this Medicare group
Cedarville, CA 96104
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1801973052 (California)
- 9 clinicians in this Medicare group
Alturas, CA 96101
- Reassigned Medicare billing, California enrollment
- 36 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEMPHIS, TN 38128
MEMPHIS, TN 38128
MEMPHIS, TN 38128
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 Zachary Self's NPI number?
The NPI number for Zachary Self is 1639326010. It was assigned to this individual provider in the NPPES registry on August 27, 2008.
Where is Zachary Self located?
Zachary Self practices at 3030 Covington Pike Suite 100, Memphis, TN 38128. The listed phone number is (901) 383-8889.
What is Zachary Self's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Zachary Self enrolled in Medicare?
Yes. Zachary Self 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 Zachary Self's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Self reassigns Medicare benefits to 3 organizations: Seaside Emergency Associates (Ventura, CA), Surprise Valley Health Care District (Cedarville, CA) and Last Frontier Healthcare District (Alturas, CA). 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 Zachary Self's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Zachary Self was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# Zachary B Self, M.D. · NPI 1639326010
Family Medicine physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since August 27, 2008.
## Identity
- **NPI:** 1639326010 (Entity type: Individual)
- **Enumerated:** August 27, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 46790 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 3030 COVINGTON PIKE, SUITE 100, Memphis, TN 38128-5048
- **Phone:** (901) 383-8889 · **Fax:** (901) 383-2245
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Seaside Emergency Associates (NPI 1639577802, Ventura, CA); Surprise Valley Health Care District (NPI 1023194222, Cedarville, CA); Last Frontier Healthcare District (NPI 1487669032, Alturas, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2008
## Record status
- **NPPES last updated:** November 22, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1639326010) · Data from the CMS NPPES public registry.