Mimily Harsono, MD
Mimily Harsono, MD is a Neonatal-Perinatal Medicine Physician in Memphis, TN, registered under NPI 1003137571.
Getting there
Here is what surrounds this office in Memphis, based on OpenStreetMap data collected Sep 7, 2026. Parking is available about 0.38 mi away at O Lot Patient Parking.
Getting here and what is nearby
Parking 208 ft ~1 min
Parking 278 ft ~2 min
Restaurant Church's Chicken 1,010 ft ~4 min
Gas station Valero 0.28 mi ~6 min
Restaurant McDonald's 0.31 mi ~7 min
905 Union Avenue, Memphis 38103-3513
07:00-20:00
Restaurant French Truck Coffee 0.33 mi ~7 min
Parking O Lot Patient Parking 0.38 mi ~8 min
190 S Dunlap, Memphis 38126
Hotel Motel 6 Memphis Downtown 0.45 mi ~10 min
210 South Pauline Street, Memphis 38104
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 50025 | TN | Neonatal-Perinatal Medicine Physician primary |
This provider holds licence 50025 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Pediatric Medicine
- PAC ID
- 5799925467
- Enrollment ID
- I20130701000816
Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Neonatal-Perinatal Medicine covers
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. NUCC Health Care Provider Taxonomy, code 2080N0001X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003137571 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 18, 2010 |
| Last updated | Feb 25, 2025 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | MD |
| Practice address |
877 JEFFERSON AVE Memphis, TN 38103 (901) 545-7100 |
| Mailing address |
1068 CRESTHAVEN RD STE 300 Memphis, TN 38119 |
| Other identifiers |
00179412A
· Medicaid (GA) 02507295 · Medicaid (MS) 1003137571 · Medicaid (MI) 1003137571 · Medicaid (MO) 1532008 · Medicaid (TN) 177423 · Medicaid (AL) 197560001 · Medicaid (AR) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 1 | 3 | 7 | 5 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 2 | 3 | 5 | 5 | 5 |
Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.