Individual provider Active NPI

Michael Aaron Nelson, MD

  • Cardiovascular Disease Physician
  • Germantown, TN
National Provider Identifier
1043477136
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
43656 Issued in TN
Practice address
7751 Wolf River Blvd
Germantown, TN 38138-1706
Phone
(901) 297-4000
Fax
(901) 531-8344
NPI assigned
May 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 43656 TN Primary
Interventional Cardiology Physician 207RI0011X 43656 TN
Nuclear Cardiology Physician 207UN0901X 43656 TN

Addresses

Primary practice location

7751 Wolf River Blvd
Germantown, TN 38138-1706

Mailing address

7751 Wolf River Blvd
Germantown, TN 38138-1706
Phone (901) 297-4000

Other identifiers 1

IdentifierTypeStateIssuer
1509991MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080702000315 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular Disease 6204908544 Reassigns benefits to 1 organization
I20200421002380 AR Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6204908544

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
25.6 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.34

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: mnelson30809@mlh.direct-ci.com
  • Direct secure messaging: michael.nelson.p1@direct.phvvmed.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1043477136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381706",
            "telephone_number": "901-297-4000",
            "fax_number": "901-531-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381706",
            "telephone_number": "901-297-4000",
            "fax_number": "901-531-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MICHAEL",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-17",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "43656",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "43656",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TN",
            "license": "43656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509991",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.