Individual provider Active NPI

Paul G Menke, MD

  • Diagnostic Radiology Physician
  • Murfreesboro, TN
National Provider Identifier
1285730416
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23545 Issued in TN
Practice address
212 Heritage Park Dr
Murfreesboro, TN 37129-1549
Phone
(615) 893-5022
Fax
(615) 893-7184
NPI assigned
Sep 15, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 23545 TN Primary

Addresses

Primary practice location

212 Heritage Park Dr
Murfreesboro, TN 37129-1549

Mailing address

PO Box 1039
Murfreesboro, TN 37133-1039
Phone (615) 893-5022

Other identifiers 1

IdentifierTypeStateIssuer
3069639MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000347 TN Practitioner - Diagnostic Radiology 4880671130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Louisville School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Practice addresses (Care Compare)

1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4587

1840 Medical Ctr Pkwy
Murfreesboro, TN 37129-3237

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Jul 10, 1995 Accepting new patients
Tennessee Pet Scan Center, LLC Diagnostic Radiology CurrentSince Jul 1, 2004 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Feb 6, 2002 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jul 17, 2023 Accepting new patients
Adi Radiology PC Diagnostic Radiology Past Accepting new patients
Sanford Clinic Diagnostic Radiology Past Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology Past Accepting new patients

Locations

75 Remittance Dr
Dept 6244
Chicago, IL 60675

789 Old Hickory Blvd
Brentwood, TN 37027
Phone (615) 555-6870

3310 Aspen Grove Dr
Ste 101
Franklin, TN 37067
Phone (615) 771-0171

5045 Old Hickory Blvd
Ste 100
Hermitage, TN 37076
Phone (615) 884-7674

5002 Crossings Cir
Ste 140
Mt Juliet, TN 37122
Phone (615) 773-7237

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

1700 Medical Center Pkwy
Ste 101
Murfreesboro, TN 37129

1747 Medical Center Pkwy
Ste 210
Murfreesboro, TN 37129
Phone (615) 893-1600

1840 Medical Center Pkwy
Ste 100
Murfreesboro, TN 37129
Phone (615) 848-0488

1840 Medical Center Pkwy
Ste 101
Murfreesboro, TN 37129
Phone (615) 896-1234

1840 Medical Center Pkwy
Ste 200
Murfreesboro, TN 37129
Phone (615) 217-1560

1840 Medical Center Pkwy
Ste 405
Murfreesboro, TN 37129
Phone (615) 396-4282

212 Heritage Park Dr
Murfreesboro, TN 37129
Phone (615) 893-5022

1800 Charlotte Ave
Nashville, TN 37203

210 25th Ave N
Ste 1204
Nashville, TN 37203
Phone (615) 312-1479

210 25th Ave N
Ste 602
Nashville, TN 37203
Phone (615) 312-0604

2323 Crestmoor Rd
#151
Nashville, TN 37215

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

520 W Main St
Smithville, TN 37166
Phone (615) 215-5000

741 President Pl
Ste 100
Smyrna, TN 37167
Phone (615) 220-0674

324 Doolittle Rd
Woodbury, TN 37190
Phone (615) 563-4001

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285730416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1039",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371331039",
            "telephone_number": "615-893-5022",
            "fax_number": "615-893-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HERITAGE PARK DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291549",
            "telephone_number": "615-893-5022",
            "fax_number": "615-893-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKE",
        "first_name": "PAUL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "23545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3069639",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.