Individual provider Active NPI

Marc H Stegman, M.D.

  • Specialist
  • Memphis, TN
National Provider Identifier
1023019825
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD19034 Issued in TN
Practice address
2225 Union Ave
Ste. 100
Memphis, TN 38104-4316
Phone
(901) 726-1161
Fax
(901) 726-0161
NPI assigned
Aug 3, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD19034 TN Primary

Addresses

Primary practice location

2225 Union Ave
Ste. 100
Memphis, TN 38104-4316

Mailing address

2225 Union Ave
Ste. 100
Memphis, TN 38104-4316
Phone (901) 726-1161

Other identifiers 1

IdentifierTypeStateIssuer
3034261MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060130000871 TN Practitioner - Nephrology 7810806619 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19034TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Kidney Group of Memphis, PLLC Specialist CurrentSince Jan 1, 2006 Accepting new patients

Locations

2225 Union Ave
Ste 100
Memphis, TN 38104
Phone (901) 726-1161

Interoperability endpoints

  • Direct secure messaging: mstegman30965@mlh.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023019825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 UNION AVE",
            "address_2": "STE. 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044316",
            "telephone_number": "901-726-1161",
            "fax_number": "901-726-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 UNION AVE",
            "address_2": "STE. 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044316",
            "telephone_number": "901-726-1161",
            "fax_number": "901-726-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGMAN",
        "first_name": "MARC",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD19034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3034261",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.