Jerome Seymour Siegel, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD0000004189 Issued in TN

Practice address

1714 W Massey Rd
Memphis, TN 38120-4205

Phone

(901) 685-5520

Fax

(901) 685-0782

NPI assigned

May 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• LS of Memphis, PC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1851532832
  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1083663207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 W MASSEY RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204205",
            "telephone_number": "901-685-5520",
            "fax_number": "901-685-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 W MASSEY RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204205",
            "telephone_number": "901-685-5520",
            "fax_number": "901-685-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "JEROME",
        "middle_name": "SEYMOUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000004189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00465587",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROD MEDICARE",
            "identifier": "110092173",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TENNESSEE",
            "identifier": "4159151",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION #",
            "identifier": "62-1792869",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sidney H Kriger MD PC
• Cacilda Maria Faria Siega, MD
• Barry R Siegel, M.D.
• David Robert Siegel, M.D.
• Gloria S. Siegel, PH.D.
• Joel I Siegel, MD
• Rachel Siegel, OTR/L
• Dasirae Danielle Sieh, DDS
• Daniel Kipkemoi Siele, MD
• Danielle Sierra

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.