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MARTHA K TIBBS MD NPI 1417901570


NPI Information

NPI: 1417901570
Provider Name: MARTHA K TIBBS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
5959 PARK AVE
RADIOLOGY DEPARTMENT
MEMPHIS, TN
ZIP 38119
Phone: (901) 765-3212
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Martha K Tibbs, MD is a diagnostic radiology radiology in Memphis, TN with 32 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Martha K Tibbs, MD NPI is 1417901570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1992

The provider's business location address is:

5959 PARK AVE
RADIOLOGY DEPARTMENT
MEMPHIS, TN
ZIP 38119-200
Phone: (901) 765-3212
Fax: (901) 765-1727

The NPI 1417901570 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment management, 5 treatments (HCPCS:77427)
  • Radiation treatment devices, design and construction, complex (HCPCS:77334)
  • Management of radiation therapy, complex (HCPCS:77263)

The enumeration date for this NPI number is 5/20/2006 and was last updated on 10/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyMD029014TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100118726MEDICAIDMISSISSIPPI
23812389MEDICAIDTENNESSEE
3G52088MEDICARE UPIN
43812389MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
5203822408MEDICAIDMISSOURI
638123891MEDICARE PINTENNESSEE
7132048001MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.