Individual provider Active NPI

William V Shappley, M.D.

  • Specialist
  • Germantown, TN
National Provider Identifier
1508889817
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
7705 Poplar Ave
Suite 310B
Germantown, TN 38138-3930
Phone
(901) 759-0101
Fax
(901) 759-1588
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X TN Primary

Addresses

Primary practice location

7705 Poplar Ave
Suite 310B
Germantown, TN 38138-3930

Mailing address

7705 Poplar Ave
Suite 310B
Germantown, TN 38138-3930
Phone (901) 759-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040920000510 TN Practitioner - Urology 9436127396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Tennessee, HSC, College of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Group PCGroup PAC ID 9739153354, 17 clinicians

Practice addresses (Care Compare)

7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1778
Phone (901) 767-8158

Hospital & facility affiliations

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 resection21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD000032720TNMDSpecialist
32720TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Group PC CurrentSince Jun 1, 2014 Accepting new patients
Urology Group, PC CurrentSince Jun 1, 2014 Accepting new patients
Urology Group PC Current Accepting new patients
Tratsc LLC Past Accepting new patients
Baptist Memorial Medical Group Inc Past Accepting new patients

Locations

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: william.shappley.2@1407.direct.athenahealth.com
  • Direct secure messaging: wshappley43212@mlh.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508889817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7705 POPLAR AVE",
            "address_2": "SUITE 310B",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383930",
            "telephone_number": "901-759-0101",
            "fax_number": "901-759-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7705 POPLAR AVE",
            "address_2": "SUITE 310B",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383930",
            "telephone_number": "901-759-0101",
            "fax_number": "901-759-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPPLEY",
        "first_name": "WILLIAM",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.