Active NPI
David A Deneka, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 29319
- Practice address
- 6286 Briarcrest Ave Ste 200
Memphis, TN 38120-4023 - Phone
- (901) 641-3000
- Fax
- (901) 259-1698
- NPI assigned
- May 23, 2005
- Last updated
- Mar 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 29319 | TN | |
| Orthopaedic Surgery Physician | 207X00000X | E-7565 | AR | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 29319 | TN | Primary |
Addresses
Primary practice location
6286 Briarcrest Ave Ste 200
Memphis, TN 38120-4023
Mailing address
6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5742
Phone (901) 641-3000
Other practice location 1
7580 Clarington Cv
Southaven, MS 38671-5657
Phone (901) 641-3000
Other practice location 2
2100 Exeter Rd Ste 200
Germantown, TN 38138-3966
Phone (901) 641-3000
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4081511 | Other | TN | BLUE CROSS |
| 008800509 | Medicaid | MS | |
| 6063481 | Other | TN | CIGNA |
| 620819926 | Other | MS | BCBS |
| 620819926 | Other | TN | TRICARE |
| 620819926 | Other | TN | AETNA |
| 152563001 | Medicaid | AR | |
| 3371161 | Medicaid | TN | |
| 110318002 | Medicaid | AR | |
| 3821832 | Medicaid | TN | |
| 620819926 | Other | TN | CIGNA |
| 7187860 | Medicaid | MS | |
| P00164074 | Other | TN | RAILROAD MEDICARE |
| 00000038768 | Other | TN | TLC |
| 5488613 | Other | TN | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Vanderbilt University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6286 Briarcrest Ave
Suite 200
Memphis, TN 38120-4023
Phone (901) 641-3000
7580 Clarington CV
Southaven, MS 38671-5657
Phone (901) 259-1600
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 31 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group PC | Orthopaedic Surgery | Current | Accepting new patients |
| Tennessee Orthopaedic Alliance PA | Orthopaedic Surgery | Past | Accepting new patients |
| Tennessee Orthopaedic Alliance PA | Past | Accepting new patients |
Locations
2670 McIngvale Rd
Ste J
Hernando, MS 38632
Phone (662) 548-2710
7580 Clarington Cv
Southaven, MS 38671
Phone (901) 259-1600
6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347
Interoperability endpoints
- ddeneka25018@mlh.direct-ci.com
Organizations & group practices 4
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.
-
dba Tennessee Orthopaedic Alliance
- Orthopaedic Surgery Physician
- Murfreesboro, TN
- NPI 1124061692
-
- Multi-Specialty Clinic/Center
- Clarksville, TN
- NPI 1336905561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1871596882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6077 PRIMACY PKWY STE 140",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195742",
"telephone_number": "901-641-3000",
"fax_number": "901-259-1698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6286 BRIARCREST AVE STE 200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204023",
"telephone_number": "901-641-3000",
"fax_number": "901-259-1698"
}
],
"practiceLocations": [
{
"address_1": "7580 Clarington Cv",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386715657",
"country_code": "US",
"telephone_number": "901-641-3000",
"fax_number": "901-701-2460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 Exeter Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381383966",
"country_code": "US",
"telephone_number": "901-641-3000",
"fax_number": "901-373-3804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENEKA",
"first_name": "DAVID",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "29319",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AR",
"license": "E-7565",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TN",
"license": "29319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4081511",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008800509",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6063481",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "620819926",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "620819926",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "620819926",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152563001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3371161",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110318002",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3821832",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "620819926",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7187860",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00164074",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC",
"identifier": "00000038768",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5488613",
"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 Mar 17, 2021; 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.