NPIMap

Individual provider Active NPI

Mark Shermer, MD

  • Nephrology Physician
  • Memphis, TN
National Provider Identifier
1144306366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD0000029065 Issued in TN
Practice address
6005 Park Ave
Ste 807
Memphis, TN 38119
Phone
(901) 762-0504
Fax
(901) 682-9460
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD0000029065 TN Primary

Addresses

Primary practice location

6005 Park Ave
Ste 807
Memphis, TN 38119

Mailing address

6005 Park Ave
Ste 807
Memphis, TN 38119
Phone (901) 762-0504

Other identifiers 1

IdentifierTypeStateIssuer
3375240MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000897 TN Practitioner - Internal MedicinePractitioner - Nephrology 5294736989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Shermer, M.D.,P.C.Group PAC ID 9436326196, 3 clinicians

Practice addresses (Care Compare)

6005 Park Ave
Suite 807
Memphis, TN 38119-5218
Phone (901) 762-0504

Hospital & facility affiliations

  • Fresenius Medical Care Ridgeway Dialysis facility, Memphis, TN, CCN 442718
  • FMC Bartlett Dialysis facility, Memphis, TN, CCN 442703
  • FKC Community Dialysis Dialysis facility, Memphis, TN, CCN 442762
  • FMC Central Memphis Dialysis facility, Memphis, TN, CCN 442731
  • FMC East Memphis Dialysis facility, Memphis, TN, CCN 442524
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • 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
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228

Merit-based Incentive Payment System (MIPS)

Final score
87.22 of 100Reported as individual
Quality
76.51
Improvement activities
40
Cost
72.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000029065TNMDNephrology Physician
29065TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Shermer, M.D.,P.C. Nephrology CurrentSince Sep 1, 2001 Accepting new patients

Locations

6005 Park Ave
Ste 807
Memphis, TN 38119
Phone (901) 288-6233

5959 Park Ave
Fl 12
Memphis, TN 38119
Phone (901) 572-1800

Interoperability endpoints

  • Direct secure messaging: mshermer30968@mlh.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144306366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "STE 807",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-762-0504",
            "fax_number": "901-682-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "STE 807",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-762-0504",
            "fax_number": "901-682-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "MD0000029065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3375240",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.