Individual provider Active NPI

Thomas Earl Shook, MD, MPH

  • Urology Physician
  • Savannah, GA
National Provider Identifier
1093896524
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
31831 Issued in GA
Practice address
230 E Derenne Ave
Savannah, GA 31405-6736
Phone
(912) 790-4000
Fax
(912) 790-4407
NPI assigned
Oct 18, 2006
Last updated
Jan 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 31831 GA Primary

Addresses

Primary practice location

230 E Derenne Ave
Savannah, GA 31405-6736

Mailing address

PO Box 14459
Savannah, GA 31416-1459
Phone (912) 790-4000

Other identifiers 1

IdentifierTypeStateIssuer
000397559KMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20101123000394 GA Practitioner - Urology 9638196017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of North Carolina at Chapel Hill School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urological Associates of Savannah, PCGroup PAC ID 6204748957, 16 clinicians

Practice addresses (Care Compare)

230 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 790-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.85 of 100Reported as group
Quality
65.49
Improvement activities
40
Cost
75.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31831GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urological Associates of Savannah, PC Urology CurrentSince Jan 1, 2015 Accepting new patients

Locations

230 E Derenne Ave
Savannah, GA 31405
Phone (912) 790-4000

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.153

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1093896524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14459",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161459",
            "telephone_number": "912-790-4000",
            "fax_number": "912-790-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E DERENNE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056736",
            "telephone_number": "912-790-4000",
            "fax_number": "912-790-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "THOMAS",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "31831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000397559K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.