TARYN GREEN SARDAR (MD) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1780117192

TARYN GREEN SARDAR (MD) is a healthcare provider. based in Jackson, Mississippi. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 67289 (MN). The NPI Number for TARYN GREEN SARDAR (MD) is 1780117192

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
TARYN GREEN SARDAR (MD)
NPI
1780117192
Phone
(601) 984-5607
Address
2500 N State St
Enumeration Date
4 April 2017
Last Update Date
9 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
6012924261
Graduation Year
2017 (9 years ago)
PAC ID
5193099612
Group Practice PAC ID
1153216411
Professional Enrollment ID
I20231025002230
Address ID
MS392022064JA1225XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,228 INTERNAL MEDICINE in MS

Provider Addresses for TARYN GREEN SARDAR (MD)

  • 2500 N State St

    Jackson, MS 392164500

    Phone: (601) 984-5607

    Fax: (601) 984-6665

    Type: Location

  • 200 1st St SW

    Rochester, MN 559050001

    Phone: (507) 284-2511

    Type: Location

  • 1225 N State St

    Jackson, MS 392022064

    Phone: (601) 988-5281

    Type: Location

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

  • 9500 EUCLID AVE

    CLEVELAND, OH 441950001

    Phone: (216) 444-2200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231025002230IInternal MedicineMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99497Advance care planning, first 30 minutes4233$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3325$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2016$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1914$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 39216)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153216411View full group profile
NameSpecialtyState
-MS
Internal MedicineTN
N E U R O L O G YTN
-MS
Nurse PractitionerMS
-MS
-TN
-MS
Interventional Cardiology, Cardiovascular Disease (Cardiology)AL
Family PracticeMS

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Frequently asked questions

What number should I use to identify TARYN GREEN SARDAR (MD) for billing?
Administrative and clinical systems typically use NPI 1780117192 for TARYN GREEN SARDAR (MD).
Should I treat TARYN GREEN SARDAR (MD) as an active provider?
Patients and plans typically see TARYN GREEN SARDAR (MD) as active in the national extract.
What does the directory say TARYN GREEN SARDAR (MD) does?
Insurance directories may phrase it differently, but here TARYN GREEN SARDAR (MD) maps to Hospice and Palliative Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What city is tied to TARYN GREEN SARDAR (MD)?
The directory associates TARYN GREEN SARDAR (MD) with Jackson, Mississippi. Check all listed addresses for suites or satellite offices.
Why is information missing for TARYN GREEN SARDAR (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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