MEDICARE: DR. NILOOFAR MOTAKEF BAYMILLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	37022	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134138761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NILOOFAR MOTAKEF BAYMILLER MD

Provider Business Mailing Address
First Line	:	1938 ROWAN LN
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-2564
Country	:	US
Telephone Number	:	901-755-0208
Fax Number	:	901-861-9793

Provider Business Practice Location Address
First Line	:	5885 RIDGEWAY CENTER PKWY STE 101
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-4011
Country	:	US
Telephone Number	:	901-288-6255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	03/06/2026

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