NPIMap

Organization Active NPI

Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
National Provider Identifier
1134739089
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MONOGRAM HEALTH PROFESSIONAL SERVICES PC
Practice address
5410 Maryland Way Ste 400
Brentwood, TN 37027-8087
Phone
(615) 465-8684
Fax
(629) 240-6003
NPI assigned
Aug 5, 2020
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Shawn Verner
Title
General Counsel and Secretary
Phone
(615) 994-1889

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Family Nurse Practitioner 363LF0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Cognitive & Behavioral Psychologist 103TB0200X
Specialist 174400000X
Family Medicine Physician 207Q00000X
Cardiovascular Disease Physician 207RC0000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Nephrology Physician 207RN0300X Primary
Pulmonary Disease Physician 207RP1001X
Psychiatry Physician 2084P0800X
General Practice Physician 208D00000X
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X
Cardiology Pharmacist 1835C0206X

Addresses

Primary practice location

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087

Mailing address

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087
Phone (615) 673-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MI, MA, VA, NH, CT, MD, PA, OH, IL, SC, WA, NE, RI, MT, OR, ND, MN, ME, NV, KY, ID, MO, IN, DC, WV26 enrollments

Enrollment records 26

Enrollment IDStateProvider typePAC IDDetails
O20201027002061 TN Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 83 practitioners
1 other NPI on this enrollment
Practice locations: Brentwood, TN; Memphis, TN
O20220209002773 MI Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 47 practitioners
Practice locations: Grand Rapids, MI
O20220324001442 MA Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 15 practitioners
Practice locations: Concord, MA
O20220404000223 VA Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 72 practitioners
Practice locations: Richmond, VA
O20220406000368 NH Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 8 practitioners
Practice locations: Nashua, NH
O20220411001814 CT Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 13 practitioners
Practice locations: Rocky Hill, CT
O20220807000078 MD Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 27 practitioners
Practice locations: Baltimore, MD
O20220808002650 PA Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 96 practitioners
Practice locations: Philadelphia, PA
O20220817001124 OH Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 34 practitioners
Practice locations: Westerville, OH
O20220909002776 IL Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 24 practitioners
Practice locations: Chicago, IL
O20220929001965 SC Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 50 practitioners
Practice locations: Greenville, SC
O20220930002435 WA Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 24 practitioners
Practice locations: Vancouver, WA
O20221003002156 NE Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 2 practitioners
Practice locations: Omaha, NE
O20221006001065 RI Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 4 practitioners
Practice locations: Providence, RI
O20221007001283 MT Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 2 practitioners
Practice locations: Bozeman, MT
O20221007001911 OR Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR
O20221014000103 ND Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 1 practitioner
Practice locations: Fargo, ND
O20221017001265 MN Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 3 practitioners
Practice locations: St Louis Park, MN
O20221019002140 ME Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 14 practitioners
Practice locations: Portland, ME
O20221031000679 NV Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20221110002657 KY Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 34 practitioners
Practice locations: Lexington, KY
O20221114000117 ID Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 1 practitioner
Practice locations: Meridian, ID
O20221216000696 MO Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 6 practitioners
Practice locations: Saint Louis, MO
O20230417001043 IN Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 2 practitioners
Practice locations: Indianapolis, IN
O20230710001914 DC Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 62 practitioners
Practice locations: Alexandria, VA
O20250117001503 WV Part B Supplier - Clinic/Group Practice 4880004183 Receives reassigned benefits from 48 practitioners
Practice locations: Morgantown, WV

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 8

Organizations listed as members of this organization in the National Provider Directory.

Locations

9205 W Russell Rd
Bldg 3
Las Vegas, NV 89148
Phone (702) 430-7801

470 Olde Worthington Rd
Ste 200
Westerville, OH 43082
Phone (614) 340-7587

111 SW 5th Ave
Ste 3150
Portland, OR 97204
Phone (253) 300-8453

1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (267) 362-3232

780 Truse Pkwy
Ste 102
Memphis, TN 38117
Phone (901) 259-5960

Practitioners & affiliated clinicians

Practitioners 323

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 323

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1134739089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278087",
            "telephone_number": "615-673-4455",
            "fax_number": "615-432-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278087",
            "telephone_number": "615-465-8684",
            "fax_number": "629-240-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONOGRAM HEALTH PROFESSIONAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "VERNER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "GENERAL COUNSEL AND SECRETARY",
        "authorized_official_telephone_number": "615-994-1889"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835C0206X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.