Individual provider Active NPI

Hillel E. Wiener, DO

  • Internal Medicine Physician
  • Southaven, MS
National Provider Identifier
1356558357
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21508 Issued in MS
Practice address
7601 Southcrest Parkway
Southaven, MS 38671
Phone
(662) 772-2980
Fax
(662) 772-2960
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT011624 PA
Internal Medicine Physician 207R00000X 2242 TN
Internal Medicine Physician 207R00000X E-16069 AR
Internal Medicine Physician 207R00000X 21508 MS Primary

Addresses

Primary practice location

7601 Southcrest Parkway
Southaven, MS 38671

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, AR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110712000656 MS Practitioner - Internal Medicine 5395899090 Reassigns benefits to 4 organizations
I20110729000538 TN Practitioner - Internal Medicine 5395899090 Reassigns benefits to 2 organizations
I20230220001730 AR Practitioner - Internal Medicine 5395899090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenbrook Physician Services, LLCGroup PAC ID 5597267427, 70 clinicians

Practice addresses (Care Compare)

2100 N 7TH St
West Memphis, AR 72301-2017
Phone (901) 226-3610

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000

4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (901) 227-9820

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2130

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-16069ARMDInternal Medicine Physician
OT011624PAMDInternal Medicine Physician
2242TNMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Healthcare Community Care Associates Current Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jun 1, 2011 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Jan 4, 2013 Accepting new patients
Baptist Memorial Medical Group Inc Internal Medicine CurrentSince Jun 1, 2011 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Jan 4, 2013 Accepting new patients
Greenbrook Physician Services, LLC Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Methodist Heatlhcare Community Care Associates CurrentSince Jan 7, 2013 Accepting new patients
Baptist Memorial Hospital-Desoto, Inc, Past Accepting new patients

Locations

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

7235 Hacks Cross Rd
Olive Branch, MS 38654
Phone (662) 893-7878

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

7205 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 507-9466

Organizations & group practices 9

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 2

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1356558357",
    "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": "7601 SOUTHCREST PARKWAY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-772-2980",
            "fax_number": "662-772-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "HILLEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT011624",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "2242",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-16069",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "21508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.