AUSTIN LAWRENCE DALGO (M.D.) – General Practice Physician, NPI 1609166016
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
111 GENERAL PRACTICE in TN
Provider Addresses for AUSTIN LAWRENCE DALGO (M.D.)
3358 S 3rd St
Memphis, TN 381092944
Phone: (901) 448-8200
Fax: (901) 448-8485
Type: Location
51 N DUNLAP ST
SUITE G145
MEMPHIS, TN 381054625
Phone: (901) 287-4538
Type: Location
1068 CRESTHAVEN RD STE 300
MEMPHIS, TN 381190809
Phone: (901) 866-8864
Type: Mailing
870 E MCLEMORE AVE
MEMPHIS, TN 381063218
Phone: (901) 448-2200
Fax: (901) 448-8485
Type: Location
9380 Highway 128
Savannah, TN 383725510
Phone: (731) 925-3441
Fax: (731) 925-6110
Type: Location
534 N 2nd St
Memphis, TN 381051632
Phone: (901) 448-1956
Fax: (901) 448-9696
Type: Location
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: 2015-03-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150317002732 | I | Pediatric Medicine | TN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38109)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Family Practice | TN | |
| O P H T H A L M O L O G Y | VA | |
| Nephrology, Internal Medicine | TN | |
| - | AR | |
| Hematology/Oncology, Internal Medicine | TN | |
| O P H T H A L M O L O G Y | TN | |
| Nurse Practitioner | MS | |
| - | TN | |
| Plastic And Reconstructive Surgery | TN | |
| - | NY |
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