Active NPI
David G Shainberg, DPM
- Podiatrist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 491
- Practice address
- 993 Reddoch CV
Memphis, TN 38119-3614 - Phone
- (901) 681-9141
- Fax
- (901) 681-9149
- NPI assigned
- Jan 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 491 | TN | Primary |
Addresses
Primary practice location
993 Reddoch CV
Memphis, TN 38119-3614
Mailing address
993 Reddoch CV
Memphis, TN 38119-3614
Phone (901) 681-9141
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152306717 | Medicaid | AR | |
| 480034635 | Other | TN | MEDICARE ID TYPE UNSPECIFIED |
| 3352609 | Medicaid | 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 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1038 S Yates Rd
Memphis, TN 38119-3708
Phone (901) 681-9141
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.99 of 100
- Quality
- 57.98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 88 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 158 |
| Removal or shaving of skin growth | 346 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 491 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poplar Podiatry PC | Podiatrist | Current | Accepting new patients |
Locations
228 W Tyler Ave
West Memphis, AR 72301
Phone (870) 635-0369
228 W Tyler Ave
Ste 104
West Memphis, AR 72301
Phone (870) 735-6500
993 Reddoch Cv
Memphis, TN 38119
Phone (901) 681-9141
1038 S Yates Rd
Memphis, TN 38119
Phone (901) 472-4100
Organizations & group practices 1
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.
-
- Podiatrist
- Memphis, TN
- NPI 1386615797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1629048111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "993 REDDOCH CV",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193614",
"telephone_number": "901-681-9141",
"fax_number": "901-681-9149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "993 REDDOCH CV",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193614",
"telephone_number": "901-681-9141",
"fax_number": "901-681-9149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAINBERG",
"first_name": "DAVID",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TN",
"license": "491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152306717",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID TYPE UNSPECIFIED",
"identifier": "480034635",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3352609",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.