Marcus Min, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25812 Issued in TN

Practice address

607 W Due West Ave
Suite 122
Madison, TN 37115-4431

Phone

(615) 868-0600

Fax

(615) 868-9544

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

Yes

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 TN

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHACDD/Endpoint/DHACDD

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.

• Firefly Health PLLC

  • Family Medicine Physician
  • Portland, TN
  • NPI 1528749827

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Internal Medicine

  Medicare reassignment NPD
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277

  TN

  Medicare reassignment NPD
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Morristown, TN
  • NPI 1598714826
  NPD (past)
• Emergency Physicians of Portland, PLLC

  • Emergency Medicine Physician
  • Portland, TN
  • NPI 1568401420
  NPD (past)
• Madison Behavioral Health, LLC

  • Psychiatry Physician
  • Madison, TN
  • NPI 1891741450
  NPD (past)
• Madison Behavioral Health, LLC

  • Psychiatry Physician
  • Madison, TN
  • NPI 1912938515
  NPD (past)
• Portland Primary Care LLC

  • Internal Medicine Physician
  • Portland, TN
  • NPI 1720034226
  NPD (past)
• Portland Primary Care, LLC

  • Family Medicine Physician
  • Portland, TN
  • NPI 1225072473
  NPD (past)
• River Region Psychiatry Associates LLC

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1386891497
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1912977430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE",
            "address_2": "SUITE 122",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154431",
            "telephone_number": "615-868-0600",
            "fax_number": "615-868-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE",
            "address_2": "SUITE 122",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154431",
            "telephone_number": "615-868-0600",
            "fax_number": "615-868-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "MARCUS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "25812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3802837",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonny G Miles
• James O Miller, MD
• Lily-Katherine Miller
• Ronell Miller, L.C.S.W.
• Julia A Mims
• Christopher Mitchell
• Jacqueline Mitchell
• Michael Mitchell
• Monti Melissa Mitchell, LPN
• Jessica Elaine Montgomery

• Internal Medicine Physician in Madison, TN
• Providers in Madison, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.