Daniel Mark Alterman, MD
Individual provider Active NPI Vascular Surgery Physician · Germantown, TN
NPI 1124284427 · NPPES record last updated Jan 22, 2025
Key facts
- NPI
- 1124284427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 47345 (TN)
- Practice address
- 1385 W Brierbrook Rd
Germantown, TN 38138-2208 - Phone
- (901) 390-2930
- Fax
- (901) 390-2940
- NPI assigned
- Aug 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vascular and Vein Institute of the South PLLC
Practice addresses (Care Compare)
1111 N Washington St
Forrest City
Forrest City, AR 72335-2150
Phone (901) 390-2930
1167 S Green St
Suite a
Tupelo, MS 38804-4907
Phone (901) 390-2930
1300 Sunset Dr
Suite P
Grenada, MS 38901-4084
Phone (901) 390-2930
1375 W Brierbrook Rd
Germantown, TN 38138-2208
1385 W Brierbrook Rd
Germantown, TN 38138-2208
Phone (901) 390-2930
2704 W Oxford Loop
Suite 110
Oxford, MS 38655-5728
Phone (901) 390-2930
306 S Rhodes St
West Memphis Obl
West Memphis, AR 72301-4215
Phone (901) 390-2930
312 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930
403 Getwell Dr
Senatobia, MS 38668-2213
Phone (901) 390-2930
405 River Rd
Greenwood, MS 38930-4212
Phone (901) 390-2930
785 Ohio Ave
Suite 2D
Clarksdale, MS 38614-6216
Phone (901) 390-2930
Hospital & facility affiliations
- St Francis Hospital
- Baptist Memorial Hospital
- Saint Francis Bartlett Medical Center
- Baptist Memorial Hospital Tipton
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 26 |
| Leg revascularization (restoring blood flow) | 204 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AR, MS, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210921002833 | AR | Practitioner - Vascular Surgery | 3375786346 | Reassigns benefits to 1 organization |
| I20210922001424 | MS | Practitioner - Vascular Surgery | 3375786346 | Reassigns benefits to 1 organization |
| I20210930002968 | TN | Practitioner - Vascular Surgery | 3375786346 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E14658 | AR | MD | Vascular Surgery Physician |
| 47345 | TN | MD | Vascular Surgery Physician |
Interoperability endpoints
- dalterman24895@mlh.direct-ci.com
- danielalterman@vvis.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 4301101987 | MI | |
| Vascular Surgery Physician | 2086S0129X | 47345 | TN | Yes |
| Vascular Surgery Physician | 2086S0129X | 29338 | MS | |
| Vascular Surgery Physician | 2086S0129X | E14658 | AR |
Addresses
Primary practice location
1385 W Brierbrook Rd
Germantown, TN 38138-2208
Mailing address
1385 W Brierbrook Rd
Germantown, TN 38138-2208
Phone (901) 390-2930
Other practice location 1
312 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930
Other practice location 2
1355 W Brierbrook Rd
Germantown, TN 38138-2208
Phone (901) 390-2930
Other practice location 3
1111 N Washington St
Forrest City, AR 72335-2150
Phone (901) 390-2930
Other practice location 4
1750 Madison Ave, 3rd Floor
Suite 302
Memphis, TN 38104
Phone (901) 390-2930
Other practice location 5
8081 US Highway 51 N
Millington, TN 38053-1730
Phone (901) 390-2930
Other practice location 6
1750 Madison Ave Ste 301
Memphis, TN 38104-6428
Phone (901) 390-2930
Other practice location 7
306 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930
Other practice location 8
403 Getwell Dr
Senatobia, MS 38668-2213
Phone (901) 390-2930
Other practice location 9
705 N State St
Clarksdale, MS 38614-6519
Phone (901) 390-2930
Other practice location 10
405 River Rd
Greenwood, MS 38930-4212
Phone (901) 390-2930
Other practice location 11
1300 Sunset Dr Ste P
Grenada, MS 38901-4084
Phone (901) 390-2930
Other practice location 12
176 Goodman Rd W
Southaven, MS 38671-9405
Other practice location 13
2704 W Oxford Loop Ste 110
Oxford, MS 38655-5728
Phone (901) 390-2930
NPI Registry JSON
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1124284427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1385 W BRIERBROOK RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382208",
"telephone_number": "901-390-2930",
"fax_number": "901-390-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1385 W BRIERBROOK RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382208",
"telephone_number": "901-390-2930",
"fax_number": "901-390-2940"
}
],
"practiceLocations": [
{
"address_1": "312 S Rhodes St",
"address_purpose": "LOCATION",
"city": "West Memphis",
"state": "AR",
"postal_code": "723014215",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1355 W Brierbrook Rd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381382208",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 N Washington St",
"address_purpose": "LOCATION",
"city": "Forrest City",
"state": "AR",
"postal_code": "723352150",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1750 Madison Ave, 3rd Floor",
"address_2": "Suite 302",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "38104",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8081 US Highway 51 N",
"address_purpose": "LOCATION",
"city": "Millington",
"state": "TN",
"postal_code": "380531730",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1750 Madison Ave Ste 301",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381046428",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "306 S Rhodes St",
"address_purpose": "LOCATION",
"city": "West Memphis",
"state": "AR",
"postal_code": "723014215",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "403 Getwell Dr",
"address_purpose": "LOCATION",
"city": "Senatobia",
"state": "MS",
"postal_code": "386682213",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "705 N State St",
"address_purpose": "LOCATION",
"city": "Clarksdale",
"state": "MS",
"postal_code": "386146519",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 River Rd",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "MS",
"postal_code": "389304212",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 Sunset Dr Ste P",
"address_purpose": "LOCATION",
"city": "Grenada",
"state": "MS",
"postal_code": "389014084",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "176 Goodman Rd W",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386719405",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2704 W Oxford Loop Ste 110",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "MS",
"postal_code": "386555728",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALTERMAN",
"first_name": "DANIEL",
"middle_name": "MARK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MI",
"license": "4301101987",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TN",
"license": "47345",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MS",
"license": "29338",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AR",
"license": "E14658",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.