UT MEDICAL GROUP INC
NPI 1780676650
Clinic/Center - Multi-Specialty in Memphis, TN

Active since August 17, 2005
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119(901) 866-8864 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 4, 2023, Dec 1, 2021, Feb 2, 2021 and 2 more (5 updates tracked since 2019).

About Ut Medical Group Inc NPPES

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

UT MEDICAL GROUP INC (NPI 1780676650) is a healthcare organization registered as a multi-specialty in Memphis, Tennessee and active in the NPI registry since August 2005. The organization lists Courtney Love, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1780676650
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameUT MEDICAL GROUP INC
Location Address1068 CRESTHAVEN RD STE 300Memphis, TN 38119-0809
Mailing Address1068 Cresthaven Rd Ste 300Memphis, TN 38119-0809 · (901) 866-8864
Organization SubpartNo
Authorized OfficialCourtney LoveChief Administrative Officer · (901) 866-8105
Enumeration DateAugust 17, 2005
Last NPPES UpdateJanuary 23, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
✔ NPI 1780676650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPsychologist · HealthTaxonomy 103TH0004X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
Also ListedPhysician AssistantTaxonomy 363A00000X
1068 CRESTHAVEN RD STE 300, Memphis, TN 38119

Other Identifiers 7

Medicaid154277AL
Medicaid3715279TN
Medicaid107355002AR
Medicaid500425103MO
Medicaid04721062MS
Medicaid1780676650IL
Medicaid65906117KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Ut Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

157

Medicare enrollment records show 157 clinicians reassign Medicare billing to Ut Medical Group Inc, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 132 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Pediatric Medicine27
Neurology24
Ophthalmology15
Pathology15
Family Practice13
Nurse Practitioner11
Nephrology10
Plastic and Reconstructive Surgery9
15 other specialties33

Nearest to this location (20)

See all 157
Plastic and Reconstructive Surgery
NPI 1952543084
1068 CRESTHAVEN RD STE 500
Memphis, TN 38119
(901) 866-8525
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1831254127
1068 CRESTHAVEN RD STE 500
Memphis, TN 38119
(901) 866-8525
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1598405706
1068 CRESTHAVEN RD STE 110
Memphis, TN 38119
(901) 767-5620
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1902905722
1068 CRESTHAVEN RD STE 500
Memphis, TN 38119
(901) 866-8547
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1225418668
1068 CRESTHAVEN RD STE 500
Memphis, TN 38119
(901) 866-8547
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1649740424
1068 CRESTHAVEN RD STE 500
Memphis, TN 38119
(901) 866-8525
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1093987893
1068 CRESTHAVEN RD STE 400
Memphis, TN 38119
(901) 448-6650
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1437534682
1068 CRESTHAVEN RD STE 500
Memphis, TN 38119
(901) 866-8525
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1487829347
1068 CRESTHAVEN RD STE 400
Memphis, TN 38119
(901) 448-6650
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1699119719
1068 CRESTHAVEN RD STE 210
Memphis, TN 38119
(901) 866-8805
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1316931272
1068 CRESTHAVEN RD STE 110
Memphis, TN 38119
(901) 767-5620
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1801102330
1068 CRESTHAVEN RD STE 500
Memphis, TN 38119
(901) 448-2400
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1063123016
1068 CRESTHAVEN RD STE 500
Memphis, TN 38119
(901) 866-8525
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1386639789
1068 CRESTHAVEN RD STE 110
Memphis, TN 38119
(901) 767-5620
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1891324075
1068 CRESTHAVEN RD STE 400
Memphis, TN 38119
(901) 448-6650
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1235591371
1068 CRESTHAVEN RD STE 500
Memphis, TN 38119
(901) 866-8525
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1619313756
1068 CRESTHAVEN RD STE 210
Memphis, TN 38119
(901) 866-8805
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1467417246
1068 CRESTHAVEN RD STE 500
Memphis, TN 38119
(901) 866-8547
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1023075637
1068 CRESTHAVEN RD STE 500
Memphis, TN 38119
(901) 866-8525
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1962859892
1068 CRESTHAVEN RD STE 500
Memphis, TN 38119
(901) 866-8525
✔ PECOS✔ Accepts MedicareSame address
See all 157 clinicians

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 Ut Medical Group Inc's NPI number?

The NPI number for Ut Medical Group Inc is 1780676650. It was assigned to this organization in the NPPES registry on August 17, 2005.

Where is Ut Medical Group Inc located?

Ut Medical Group Inc is located at 1068 Cresthaven Rd Ste 300, Memphis, TN 38119. The listed phone number is (901) 866-8864.

What is Ut Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Ut Medical Group Inc enrolled in Medicare?

Yes. Ut Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ut Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 157 clinicians in 23 Medicare specialties reassign their Medicare billing to Ut Medical Group Inc. 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 Pediatric Medicine (27), Neurology (24) and Ophthalmology (15). Of these, 20 practice at this address and 132 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ut Medical Group Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 8 other insurers list Ut Medical Group Inc 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 Ut Medical Group Inc 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.