Active NPI
Mark B Hellmann, DPM
- Foot & Ankle Surgery Podiatrist
- Harriman, TN
National Provider Identifier
1588616098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM608
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q045081 | Medicaid | TN | |
| P00363617 | Other | TN | RAILROAD MEDICARE |
| 4127674 | Other | TN | BCBS TN |
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: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 188 |
| Removal of skin lesions | 67 |
| Removal of nail tissue | 187 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPM608 | TN | MD | Primary Podiatric Medicine Podiatrist |
| 608 | TN | MD | Occupational Therapy Assistant |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harriman, TN
- NPI 1700036696
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.