Individual provider Active NPI

Mark B Hellmann, DPM

  • Foot & Ankle Surgery Podiatrist
  • Harriman, TN
National Provider Identifier
1588616098
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM608 Issued in TN
Practice address
1855 Tanner Way Ste 130
Harriman, TN 37748-8331
Phone
(865) 882-4944
Fax
(865) 285-9684
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X DPM608 TN
Foot & Ankle Surgery Podiatrist 213ES0103X DPM608 TN Primary

Addresses

Primary practice location

1855 Tanner Way Ste 130
Harriman, TN 37748-8331

Mailing address

1855 Tanner Way Ste 130
Harriman, TN 37748-8331
Phone (865) 882-4944

Other identifiers 3

IdentifierTypeStateIssuer
Q045081MedicaidTN
P00363617OtherTNRAILROAD MEDICARE
4127674OtherTNBCBS TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060713000280 TN Practitioner - Podiatry 0648283796 Practice locations: Harriman, TN
O20100930016751 TN DME Supplier - Physician - Podiatry 5193928612 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Harriman, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1855 Tanner Way
Suite 130
Harriman, TN 37748-8331
Phone (865) 882-4944

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue188
Removal of skin lesions67
Removal of nail tissue187
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM608TNMDPrimary Podiatric Medicine Podiatrist
608TNMDOccupational Therapy Assistant

Hospital & facility affiliations 1

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1588616098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 TANNER WAY STE 130",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488331",
            "telephone_number": "865-882-4944",
            "fax_number": "865-285-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 TANNER WAY STE 130",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488331",
            "telephone_number": "865-882-4944",
            "fax_number": "865-285-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLMANN",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TN",
            "license": "DPM608",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q045081",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00363617",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4127674",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harriman, TN

Sources for this page

Verify at the official NPI Registry.