REZAUL ALAM, RN — NPI 1245540582 (Licensed & Credentialed Registered Nurse in MEMPHIS, TN)

CMS-1500 Box 24J / 33a • NPI

1245540582

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163W00000X

Licensed & Credentialed Registered Nurse

Box 32 Service Location & ZIP+4

1265 UNION AVE, MEMPHIS, TN, 38104-3415

✓ 9-Digit EDI 837 ZIP+4 (38104-3415)

Practice Phone & Referral Fax

(901) 516-2659

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1245540582 (REZAUL ALAM, RN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1245540582` (NPI-1 Individual Practitioner)
Provider / Legal Name	REZAUL ALAM, RN
Plain-English Specialty	Licensed & Credentialed Registered Nurse NUCC Code: `163W00000X` (Registered Nurse)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1265 UNION AVE, MEMPHIS, TN, 38104-3415
Practice Telephone / Fax	Tel: (901) 516-2659
Administrative Mailing Address	387 SPRINGDALE DR, MARION, AR, 72364-2350
Enumeration & Last Sync	Enumerated: 2010-10-20 \| CMS Record Updated: 2010-10-20

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1265 UNION AVE, MEMPHIS, TN, 38104-3415

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Plain-English Taxonomy & CMS Crosswalk (163W00000X)

What Does Taxonomy Code 163W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163W00000X translates to:
"Licensed & Credentialed Registered Nurse"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (REZAUL ALAM, RN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: AR \| License: `R73015` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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REZAUL ALAM, RN (NPI #1245540582)