Active NPI
Mark D Greenberger, M.D.
- Urology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 28010
- Practice address
- 6029 Walnut Grove Rd
Suite 300
Memphis, TN 38120-2112 - Phone
- (901) 767-8158
- Fax
- (901) 767-1555
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 16815 | MS | |
| Urology Physician | 208800000X | 28010 | TN | Primary |
Addresses
Primary practice location
6029 Walnut Grove Rd
Suite 300
Memphis, TN 38120-2112
Mailing address
6029 Walnut Grove Rd
Suite 300
Memphis, TN 38120-2112
Phone (901) 767-8158
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3809034 | Medicaid | TN | |
| 7120129 | Other | AETNA | |
| 0123339 | Medicaid | MS | |
| 131430001 | Medicaid | AR | |
| 3601198 | Other | CIGNA | |
| P00399926 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN, 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
- Urology
- Education
- Emory University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urology Group PC
Practice addresses (Care Compare)
401 Southcrest Cir
Suite 103
Southaven, MS 38671-6712
Phone (662) 349-4329
7550 Wolf River Blvd
Germantown, TN 38138-1778
Phone (901) 767-8158
Hospital & facility affiliations
- Baptist Memorial Hospital Desoto
- St Francis Hospital
- Baptist Memorial Hospital
- Methodist Hospitals of Memphis
- Baptist Memorial Hospital North Ms
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.43 of 100
- Quality
- 92.86
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16815 | MS | MD | Urology Physician |
| 28010 | TN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Group PC | Urology | Current | Accepting new patients |
| Urology Group PC | Urology | Current | Accepting new patients |
| Trasun LLC SH | Past | Accepting new patients |
Locations
302 S Rhodes St
West Memphis, AR 72301
Phone (870) 733-1800
401 Southcrest Cir
Ste 103
Southaven, MS 38671
Phone (601) 349-4820
7550 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 542-6800
6029 Walnut Grove Rd
Ste 300
Memphis, TN 38120
Interoperability endpoints
- mark.greenberger.1@1407.direct.athenahealth.com
- mgreenberger30388@mlh.direct-ci.com
Organizations & group practices 4
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.
-
- Clinic/Center
- Southaven, MS
- NPI 1255639530
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
Hospital
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
Hospital
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
Hospital
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": "1227139200000",
"number": "1497860720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6029 WALNUT GROVE RD",
"address_2": "SUITE 300",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202112",
"telephone_number": "901-767-8158",
"fax_number": "901-767-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6029 WALNUT GROVE RD",
"address_2": "SUITE 300",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202112",
"telephone_number": "901-767-8158",
"fax_number": "901-767-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERGER",
"first_name": "MARK",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MS",
"license": "16815",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "28010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3809034",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7120129",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123339",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131430001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3601198",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00399926",
"state": null
}
],
"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 Nov 20, 2008; 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.