Individual provider Active NPI

Paul Richard Eber, M.D.

  • Urology Physician
  • Germantown, TN
National Provider Identifier
1124085634
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
20950 Issued in TN
Practice address
1325 Wolf Park Dr
Suite 102
Germantown, TN 38138-1742
Phone
(901) 252-3400
Fax
(901) 682-0047
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 18433 MS
Urology Physician 208800000X 20950 TN Primary

Addresses

Primary practice location

1325 Wolf Park Dr
Suite 102
Germantown, TN 38138-1742

Mailing address

1325 Wolf Park Dr
Suite 103
Germantown, TN 38138-1742
Phone (901) 252-3411

Other practice location 1

3145 Players Club Pkwy
Memphis, TN 38125-8835
Phone (901) 252-3401

Other identifiers 6

IdentifierTypeStateIssuer
3132206OtherCIGNA
3889738MedicaidTN
13002331OtherPHCS
433985OtherHEALTH LINK
4503998OtherAETNA
4075544OtherBLUE CROSS TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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
I20040224000302 TN Practitioner - Urology 8325948615 Reassigns benefits to 1 organization
I20040629001598 MS Practitioner - Urology 8325948615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conrad Pearson Clinic PCGroup PAC ID 7315832649, 23 clinicians

Practice addresses (Care Compare)

125 Guthrie Dr
Southaven, MS 38671-5829
Phone (662) 349-1964

1325 Wolf Park Dr
Suite 102
Germantown, TN 38138-1759
Phone 90125234113495

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
69.4
Promoting interoperability
100
Improvement activities
40
Cost
89.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)11
Prostate resection19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conrad Pearson Clinic PC Urology CurrentSince Mar 1, 2004 Accepting new patients
Conrad Pearson Clinic PC Urology CurrentSince Nov 1, 1996 Accepting new patients
Conrad Pearson Clinic Past Accepting new patients
Fort Wayne Urology Inc. Urology Past Accepting new patients

Locations

125 Guthrie Dr
Southaven, MS 38671
Phone (601) 349-1964

6890 Elmore Rd
#1
Southaven, MS 38671
Phone (662) 349-1964

1325 Wolf Park Dr
Ste 103
Memphis, TN 38138

3145 Players Club Pkwy
Memphis, TN 38125
Phone (901) 252-3400

1325 Wolf Park Dr
Ste 102
Memphis, TN 38138
Phone (901) 252-3400

Interoperability endpoints

  • Direct secure messaging: peber31671@mlh.direct-ci.com
  • Direct secure messaging: paul.eber.p1@direct.cpc.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1124085634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 WOLF PARK DR",
            "address_2": "SUITE 103",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381742",
            "telephone_number": "901-252-3411",
            "fax_number": "901-384-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WOLF PARK DR",
            "address_2": "SUITE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381742",
            "telephone_number": "901-252-3400",
            "fax_number": "901-682-0047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3145 Players Club Pkwy",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381258835",
            "country_code": "US",
            "telephone_number": "901-252-3401",
            "fax_number": "901-763-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBER",
        "first_name": "PAUL",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "18433",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "20950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3132206",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3889738",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "13002331",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "433985",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4503998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS TN",
            "identifier": "4075544",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.