Michael E Portner, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

09174 Issued in MS

Practice address

803 First Street
Cleveland, MS 38732

Phone

(662) 843-2721

NPI assigned

Dec 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nephrology

Education

University of Mississippi School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delta Hills Nephrology AssociatesGroup PAC ID 0941248579, 3 clinicians

Delta Hills Nephrology Clinics PLLCGroup PAC ID 4486098555, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• RCG Cleveland Dialysis facility, Cleveland, MS, CCN 252528
• RCG Belzoni Dialysis facility, Belzoni, MS, CCN 252573
• RCG Indianola Dialysis facility, Indianola, MS, CCN 252542
• Bolivar Medical Center Hospital, Cleveland, MS, CCN 250093
• Greenwood Leflore Hospital Hospital, Greenwood, MS, CCN 250099

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.portner.1@29589.direct.athenahealth.com
• Direct secure messaging: michael.portner@scs-direct.glh.org
• Direct secure messaging: portner_michael_md@yourcarecommunity.org

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.

• Delta Hills Nephrology Associates

  • Nephrology Physician
  • Greenwood, MS
  • NPI 1841222437
  Medicare reassignment Care Compare group NPD
• Delta Hills Nephrology Clinics PLLC

  • Nephrology Physician
  • Greenwood, MS
  • NPI 1811764475
  Medicare reassignment Care Compare group NPD
• State of Mississippi - University of Mississippi Medical Center

  dba UMMC Greenwood Hospital

  • General Acute Care Hospital
  • Greenwood, MS
  • NPI 1699714717
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• RCG Mississippi, Inc.

  dba RCG Indianola

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Indianola, MS
  • NPI 1568574390

  Dialysis facility

  Care Compare affiliation Name & address match
• RCG Mississippi, Inc.

  dba RCG Cleveland

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cleveland, MS
  • NPI 1669584413

  Dialysis facility

  Care Compare affiliation Name & address match
• RCG Mississippi, Inc.

  dba RCG Belzoni

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Belzoni, MS
  • NPI 1700056538

  Dialysis facility

  Care Compare affiliation Name & address match
• PHC-Cleveland LLC

  dba Bolivar Medical Center

  • General Acute Care Hospital
  • Cleveland, MS
  • NPI 1457321036
  Care Compare affiliation
• State of Mississippi - University of Mississippi Medical Center

  dba UMMC Greenwood Hospital

  • General Acute Care Hospital
  • Greenwood, MS
  • NPI 1699714717
  Care Compare affiliation

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659439867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "address_2": "DELTA HILLS NEPHROLOGY ASSOCIATES",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389350306",
            "telephone_number": "662-453-5208",
            "fax_number": "662-453-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 FIRST STREET",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-843-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNER",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "09174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115736",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PHC-Cleveland LLC (Bolivar Medical Center)
• PHC-Cleveland LLC (Bolivar Medical Center)
• PHC-Cleveland LLC (Bolivar Medical Center)
• PHC-Cleveland, Inc. (Bolivar Medical Center Skilled Nursing Unit)
• Roenikya L. Phillips, DMD, MPH
• Susan Prather, CFNP
• Stevenson Prescott
• Mary Elizabeth Prestage, M.A.
• Julie Manning Price, OT
• Prime Care Hospice, Inc. (Community Hospice Care)

• Nephrology Physician in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Nephrology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.