Mark S Deguenther, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

00018730 Issued in AL

Practice address

3485 Independence Dr
Homewood, AL 35209-5603

Phone

(205) 930-0920

Fax

(205) 445-0115

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in AL

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

Merit-based Incentive Payment System (MIPS)

Final score

83.04 of 100Reported as group

Quality

68.83

Promoting interoperability

89

Improvement activities

40

Cost

83.82

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: markdeguenther@uca.allscriptsdirect.net

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.

• Urology Centers of Alabama PC

  • Urology Physician
  • Homewood, AL
  • NPI 1710962550
  Medicare reassignment NPD
• Urology Centers of Alabama PC

  • Community/Retail Pharmacy
  • Homewood, AL
  • NPI 1023861796
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1609849488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 INDEPENDENCE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095603",
            "telephone_number": "205-930-0920",
            "fax_number": "205-445-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 INDEPENDENCE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095603",
            "telephone_number": "205-930-0920",
            "fax_number": "205-445-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUENTHER",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "00018730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2308260001",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000025361",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "E84894",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000025361",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1910105",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "D815",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SPRINGS",
            "identifier": "E84894",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC NSC",
            "identifier": "0366100001",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5375053",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES PTAN",
            "identifier": "0366100001",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Alexander Dasher Jr., M.D., M.P.H.
• Caroline Davidson, OT
• Bellamy Clarissa Davis, PAC
• Unteria Denise Davis, CRNP
• Dear Diary Collective LLC
• Jacqueline Monte Dillon Demarco, PHD
• Larry Houston Dennis, PH.D.
• Rodney L Dennis, M.D.
• Cindy Dent, RPH
• Dentalowl LLC

• Urology Physician in Homewood, AL
• Providers in Homewood, AL by specialty
• Urology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.

Verify at the official NPI Registry.