Active NPI
Daniel J Becker, MD
- Vascular & Interventional Radiology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 17991
- Practice address
- 6019 Walnut Grove
Memphis, TN 38120 - Phone
- (901) 383-8860
- Fax
- (901) 383-1194
- NPI assigned
- Aug 19, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 17991 | TN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 17991 | TN | Primary |
Addresses
Primary practice location
6019 Walnut Grove
Memphis, TN 38120
Mailing address
7600 Wolf River Blvd Ste 200
Germantown, TN 38138-1788
Phone (901) 747-1000
Other practice location 1
7600 Wolf River Blvd Ste 200
Germantown, TN 38138-1788
Phone (901) 747-1000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3039634 | Medicaid | TN | |
| 0011723 | Medicaid | MS | |
| 5M395 | Other | AR | BCBS |
| 4124931 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Tennessee, HSC, College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 W Poplar
Collierville, TN 38017-0601
Phone (901) 850-2128
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-0140
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 227-9000
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (901) 383-9478
8040 Wolf River Blvd
Suite 200
Germantown, TN 38138-1775
Phone (901) 747-1000
Hospital & facility affiliations
- Baptist Memorial Hospital
- Baptist Memorial Hospital Desoto
- Baptist Memorial Hospital Jonesboro, Inc.
- Baptist Memorial Hospital Tipton
- Baptist Memorial Hospital - Carroll County
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.65 of 100
- Quality
- 44.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.98
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17991 | TN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| West Tennessee Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Northeast Arkansas Clinic, PA | Past | Accepting new patients |
Locations
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
311 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-4150
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
3100 Apache Dr
Ste C1
Jonesboro, AR 72401
Phone (870) 931-2216
7600 Wolf River Blvd
Memphis, TN 38138
Phone (615) 550-6049
7600 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 312-4033
7600 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 747-1000
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
Interoperability endpoints
- dbecker@directglo.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1861721839
-
- Diagnostic Radiology Physician
- Germantown, TN
- NPI 1043260763
AR, MS
-
- Diagnostic Radiology Physician
- Germantown, TN
- NPI 1912395708
-
- Mobile Mammography Clinic/Center
- Jonesboro, AR
- NPI 1417721689
-
- Clinical Medical Laboratory
- Jonesboro, AR
- NPI 1801127030
-
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1376517177
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Huntingdon, TN
- NPI 1710941356
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1467567875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 WOLF RIVER BLVD STE 200",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381788",
"telephone_number": "901-747-1000",
"fax_number": "901-747-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6019 WALNUT GROVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38120",
"telephone_number": "901-383-8860",
"fax_number": "901-383-1194"
}
],
"practiceLocations": [
{
"address_1": "7600 Wolf River Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381381788",
"country_code": "US",
"telephone_number": "901-747-1000",
"fax_number": "901-747-1001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKER",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "17991",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TN",
"license": "17991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3039634",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011723",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5M395",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4124931",
"state": "TN"
}
],
"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 Sep 3, 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.