INTERVENTIONAL NEPHROLOGY SPECIALISTS PLLC
NPI 1679769434
Internal Medicine - Nephrology in Memphis, TN
About Interventional Nephrology Specialists Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERVENTIONAL NEPHROLOGY SPECIALISTS PLLC (NPI 1679769434) is a healthcare organization registered as a nephrology in Memphis, Tennessee and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists Omar Rashad Davis, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Interventional Nephrology Specialists Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Interventional Nephrology Specialists PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D1077241
Interventional Nephrology Access Ctr · Memphis, TNFrequently 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 Interventional Nephrology Specialists PLLC's NPI number?
The NPI number for Interventional Nephrology Specialists PLLC is 1679769434. It was assigned to this organization in the NPPES registry on September 14, 2007.
Where is Interventional Nephrology Specialists PLLC located?
Interventional Nephrology Specialists PLLC is located at 2200 Union Ave, Memphis, TN 38104. The listed phone number is (901) 482-3192.
What is Interventional Nephrology Specialists PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Interventional Nephrology Specialists PLLC enrolled in Medicare?
Yes. Interventional Nephrology Specialists PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Interventional Nephrology Specialists PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Interventional Nephrology Specialists PLLC, in Nephrology and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Interventional Nephrology Specialists PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D1077241) is associated with this NPI, valid through December 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Interventional Nephrology Specialists PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Interventional Nephrology Specialists PLLC 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.
When was this NPI record last updated?
The NPPES record for Interventional Nephrology Specialists PLLC was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Interventional Nephrology Specialists Pllc · NPI 1679769434
Nephrology organization in Memphis, Tennessee. Organization record, active in the CMS NPPES registry since September 14, 2007.
## Identity
- **NPI:** 1679769434 (Entity type: Organization)
- **Enumerated:** September 14, 2007
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Omar Davis, PRESIDENT
## Practice location
- **Address:** 2200 UNION AVE, Memphis, TN 38104-4205
- **Phone:** (901) 482-3192 · **Fax:** (901) 726-1132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (2), Nurse Practitioner (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 10, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679769434) · Data from the CMS NPPES public registry.