Active NPI
Stephen Gregory Portera, M.D.
- Urology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD25742
- Practice address
- 6215 Humphreys Blvd Ste 110
Memphis, TN 38120-2382 - Phone
- (901) 227-9610
- Fax
- (901) 227-9615
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD25742 | TN | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 25742 | TN |
Addresses
Primary practice location
6215 Humphreys Blvd Ste 110
Memphis, TN 38120-2382
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3800896 | Medicaid | TN | |
| 4015978 | Other | TN | BCBST |
| 07659397 | Medicaid | MS | |
| 04123847 | Medicaid | MS | |
| 97375 | Other | AR | BCBS AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Tulane University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
1785 Nonconnah Blvd
Suite 108
Memphis, TN 38132-2139
Phone (901) 344-0101
36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801
6215 Humphreys Blvd
Memphis, TN 38120-2382
6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone (901) 227-9000
8040 Wolf River Blvd
Germantown, TN 38138-1773
8059 Stage Hills Blvd
Suite 104
Bartlett, TN 38133-4071
Phone (901) 383-4515
8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606
Hospital & facility affiliations
- Baptist Memorial Hospital
- Methodist Hospitals of Memphis
- Magnolia Regional Health Center
- Baptist Memorial Hospital Desoto
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25742 | TN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Baptist Memorial Health Services, Inc. of Mississippi | Past | Accepting new patients |
Locations
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
6215 Humphreys Blvd
Ste 110
Memphis, TN 38120
Phone (901) 227-9610
6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
Interoperability endpoints
- sportera14027@direct.bmhcc.org
- sportera33351@mlh.direct-ci.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
Obstetrics & Gynecology
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Internal Medicine Physician
- New Albany, MS
- NPI 1104971696
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1205803608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 315",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6215 HUMPHREYS BLVD STE 110",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202382",
"telephone_number": "901-227-9610",
"fax_number": "901-227-9615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTERA",
"first_name": "STEPHEN",
"middle_name": "GREGORY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "MD25742",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "25742",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3800896",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "4015978",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07659397",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04123847",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AR",
"identifier": "97375",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.