Richard Wanderman, MD
Richard Wanderman, MD is a Pediatric Adolescent Medicine Physician in Memphis, TN, registered under NPI 1184724312. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 4646 POPLAR AVE STE 302, Memphis, TN 38117. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 22468 | TN | Pediatric Adolescent Medicine Physician primary |
| 22468 | TN | Allergy Physician |
| 22468 | TN | Family Medicine Physician |
This provider holds licence 22468 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
- Order And Referring Only - Pediatric Medicine
- PAC ID
- 8123179777
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Pediatric Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Adolescent Medicine covers
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NUCC Health Care Provider Taxonomy, code 2080A0000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080A0000X | Pediatric Adolescent Medicine Physician Adolescent Medicine | 22468 | TN | primary |
| 207KA0200X | Allergy Physician Allergy | 22468 | TN | |
| 207Q00000X | Family Medicine Physician | 22468 | TN |
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 | 1184724312 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 25, 2006 |
| Last updated | Oct 19, 2022 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | MD |
| Practice address |
4646 POPLAR AVE STE 302 Memphis, TN 38117 (901) 930-7397 Fax (905) 552-3902 |
| Other identifiers |
3194814
(TN) |
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 | 1 | 8 | 4 | 7 | 2 | 4 | 3 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 7 | 4 | 5 | 2 | 8 | 3 | 2 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
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.