Individual provider Active NPI

Mark D Greenberger, M.D.

  • Urology Physician
  • Memphis, TN
National Provider Identifier
1497860720
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
28010 Issued in TN
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

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3809034MedicaidTN
7120129OtherAETNA
0123339MedicaidMS
131430001MedicaidAR
3601198OtherCIGNA
P00399926OtherRR MEDICARE

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
I20070129000484 MS Practitioner - Urology 4587665807 Reassigns benefits to 1 organization
I20070717000063 TN Practitioner - Urology 4587665807 Reassigns benefits to 1 organization
I20190903000603 AR Practitioner - Urology 4587665807 Reassigns benefits to 1 organization

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 PCGroup PAC ID 9739153354, shared by 4 NPIs, 17 clinicians

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 Hospital, Southaven, MS, CCN 250141
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034

Merit-based Incentive Payment System (MIPS)

Final score
96.43 of 100Reported as group
Quality
92.86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16815MSMDUrology Physician
28010TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Group PC Urology CurrentSince Oct 3, 2006 Accepting new patients
Urology Group PC Urology CurrentSince Oct 3, 2006 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

  • Direct secure messaging: mark.greenberger.1@1407.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.