Mark W. Greenwell, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

P3725 Issued in TX

Practice address

635 Stone Ave
Paris, TX 75460-9342

Phone

(903) 785-3300

Fax

(903) 785-3310

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, OK2 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

Specialty

NephrologyAlso: Internal Medicine

Education

University of Texas Medical School at Houston, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tyler Nephrology Associates PAGroup PAC ID 6901862242, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• RCG Paris Dialysis facility, Paris, TX, CCN 452748
• zz_closed_FMCNA - IDABEL DX Dialysis facility, Idabel, OK, CCN 372600
• DaVita Idabel Dialysis Dialysis facility, Idabel, OK, CCN 372602
• Paris Regional Medical Center Hospital, Paris, TX, CCN 450196
• Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236
• McCurtain Memorial Hospital Hospital, Idabel, OK, CCN 371342
• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
• Christus Mother Frances Hospital- Winnsboro Hospital, Winnsboro, TX, CCN 451381
• Paris Regional Medical Center Inpatient rehabilitation facility, Paris, TX, CCN 45T196

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mgreenwell32241@direct.acumenmd.com

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.

• Tyler Nephrology Associates, P.a.

  dba The Centers For Kidney Care

  • Nephrology Physician
  • Tyler, TX
  • NPI 1942360326

  OK

  Medicare reassignment Care Compare group NPD
• Bio-Medical Applications of Oklahoma, Inc.

  dba Ada Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ada, OK
  • NPI 1750905733
  NPD (past)
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Hospital

  • Critical Access Hospital
  • Idabel, OK
  • NPI 1063900975
  NPD (past)

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

• Renal Care Group Texas, Inc.

  dba Watson W. Wise Dialysis - Paris

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Paris, TX
  • NPI 1982716866

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Oklahoma, Inc.

  dba FMC Idabel Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Idabel, OK
  • NPI 1134549660

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  dba Idabel Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Idabel, OK
  • NPI 1043694383

  Dialysis facility

  Care Compare affiliation Name & address match
• Christus Hopkins Health Alliance

  dba Christus Mother Frances - Sulphur Springs

  • General Acute Care Hospital
  • Sulphur Springs, TX
  • NPI 1033568621
  Care Compare affiliation
• Essent PRMC LP

  dba Paris Regional Medical Center

  • General Acute Care Hospital
  • Paris, TX
  • NPI 1063411767
  Care Compare affiliation
• Essent PRMC LP

  dba Paris Regional Medical Center

  • Rehabilitation Hospital Unit
  • Paris, TX
  • NPI 1710986385

  Inpatient rehabilitation facility

  Care Compare affiliation
• Mother Frances Hospital Regional Health Care Center

  dba Christus Mother Frances Hospital Tyler

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation
• Mother Frances Hospital-Winnsboro

  • Critical Access Hospital
  • Winnsboro, TX
  • NPI 1659308948
  Care Compare affiliation
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Hospital

  • Critical Access Hospital
  • Idabel, OK
  • NPI 1063900975
  Care Compare affiliation

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1184681371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 MEDICAL DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012130",
            "telephone_number": "903-595-5486",
            "fax_number": "903-595-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 STONE AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609342",
            "telephone_number": "903-785-3300",
            "fax_number": "903-785-3310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 E Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Idabel",
            "state": "OK",
            "postal_code": "747457364",
            "country_code": "US",
            "telephone_number": "903-785-3300",
            "fax_number": "903-785-3310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Medical Cir Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822138",
            "country_code": "US",
            "telephone_number": "903-785-3300",
            "fax_number": "903-785-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "MARK",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "29498",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P3725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200452580 A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3058059-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Ann Gray, APRN, FNP-C
• Amanda Leigh Green, MD
• Amy M Green, CRNA
• Gregory V Green, MD
• Paul Keith Green, DDS
• Kastley Greer
• Theresa Greineder
• Stephanie Ruth Griffin, MS LMFT
• Vivian Griffith, M.S., CCC-SLP
• Richard Dean Grossnickle, MD

• Nephrology Physician in Paris, TX
• Providers in Paris, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.