Individual provider Active NPI

Ira Daniel Harber, M.D.

  • Dermatology Physician
  • Corinth, MS
National Provider Identifier
1922539071
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
28766 Issued in MS
Practice address
100 Norman Rd
Corinth, MS 38834-9372
Phone
(662) 844-6272
Fax
(662) 844-1603
NPI assigned
Mar 21, 2017
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 28766 MS Primary

Addresses

Primary practice location

100 Norman Rd
Corinth, MS 38834-9372

Mailing address

100 Norman Rd
Corinth, MS 38834-9372
Phone (662) 844-6272

Other identifiers 1

IdentifierTypeStateIssuer
07555785MedicaidMS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210506000428 MS Practitioner - Dermatology 0941579312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Mississippi School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Center of North Ms PAGroup PAC ID 7416006986, 7 clinicians

Practice addresses (Care Compare)

340 Court St
Tupelo, MS 38804-3910
Phone 66284462721005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.3 of 100Reported as individual
Quality
92.28
Promoting interoperability
85
Improvement activities
40
Cost
81.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision378
Removal of tissue1-10
Removal of skin lesions3559
Removal of nail tissue1-10
Removal or shaving of skin growth40
Skin biopsy655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28766MSMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of North Ms PA Dermatology CurrentSince Jul 1, 2021 Accepting new patients

Locations

340 Court St
Tupelo, MS 38804
Phone (662) 844-6272

516 Pegram Dr
Tupelo, MS 38801
Phone (662) 844-6272

Interoperability endpoints

  • Direct secure messaging: harber@dermcenter1.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1922539071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORMAN RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349372",
            "telephone_number": "662-844-6272",
            "fax_number": "662-844-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORMAN RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349372",
            "telephone_number": "662-844-6272",
            "fax_number": "662-844-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBER",
        "first_name": "IRA",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "28766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07555785",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.