Joshua B Tennenbaum, D.O.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

2OA8899 Issued in CA

Practice address

3495 Hacks Cross Rd
Memphis, TN 38125-8803

Phone

(888) 244-7284

Fax

(901) 526-0791

NPI assigned

Jun 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, FL, MT, WA, NH5 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 5

Specialty

Pathology

Education

Philadelphia College of Osteopathic Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montana Gastroenterology, PLLCGroup PAC ID 7618396318, 23 clinicians

Granite State Gastrointestinal Consultants PLLCGroup PAC ID 8022093962, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Montana Gastroenterology, PLLC

  • Clinic/Center
  • Missoula, MT
  • NPI 1821612946
  Medicare reassignment Care Compare group NPD
• Granite State Gastrointestinal Consultants PLLC

  • Gastroenterology Physician
  • Londonderry, NH
  • NPI 1942214457
  Medicare reassignment Care Compare group
• Ameripath Indianapolis PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
  • NPI 1013759059
  Medicare reassignment NPD
• Poplar Healthcare, PLLC

  • Specialist
  • Memphis, TN
  • NPI 1346271251
  Medicare reassignment NPD
• Optum Care Washington PLLC

  • Multi-Specialty Clinic/Center
  • Everett, WA
  • NPI 1831186766
  Medicare reassignment NPD
• Premiere Gi PLLC

  • Gastroenterology Physician
  • Lakewood Ranch, FL
  • NPI 1336829894
  Medicare reassignment NPD
• The Polyclinic PLLC

  • Audiologist
  • Seattle, WA
  • NPI 1174594634
  Medicare reassignment NPD
• Ameripath Indianapolis PC

  • Clinical Medical Laboratory
  • Memphis, TN
  • NPI 1639911688
  NPD
• Ameripath Indianapolis PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Rolla, MO
  • NPI 1053102004
  NPD
• Optum Care Washington PLLC

  • Durable Medical Equipment & Medical Supplies
  • Marysville, WA
  • NPI 1194428425
  NPD
• The Polyclinic PLLC

  • Durable Medical Equipment & Medical Supplies
  • Tacoma, WA
  • NPI 1831411487
  NPD

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1356543441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 HACKS CROSS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258803",
            "telephone_number": "888-244-7284",
            "fax_number": "901-526-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 HACKS CROSS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258803",
            "telephone_number": "888-244-7284",
            "fax_number": "901-526-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNENBAUM",
        "first_name": "JOSHUA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "005451",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "2OA8899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tenet Healthsystem SF-SNF
• Amanda F Tenison, APRN
• Charles Dexter Tenison Jr., PMHNP
• Tenn ABA Care Therapy
• Tenn Med Clinic
• Kathryn Tenner
• Tennessee Cardiovascular Institute
• Tennessee Carriers, Inc.
• Tennessee CVS Pharmacy LLC
• Tennessee CVS Pharmacy LLC

• Anatomic Pathology & Clinical Pathology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.