Active NPI
Michael Granieri, M.D.
- Urology Physician
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 56751
- Practice address
- 1325 Wolf Park Dr Ste 102
Germantown, TN 38138-1759 - Phone
- (901) 252-3400
- Fax
- (901) 763-4305
- NPI assigned
- Apr 17, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 25565 | MS | |
| Urology Physician | 208800000X | 56751 | TN | Primary |
Addresses
Primary practice location
1325 Wolf Park Dr Ste 102
Germantown, TN 38138-1759
Mailing address
1325 Wolf Park Dr
Ste 103
Germantown, TN 38138-1759
Phone (901) 252-3400
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
- Urology
- Education
- Northwestern University Feinberg Medical School, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Guthrie Dr
Southaven, MS 38671-5829
Phone (662) 349-1964
3145 Players Club Pkwy
Memphis, TN 38125-8835
Phone (901) 252-3400
Hospital & facility affiliations
- Methodist Hospitals of Memphis
- Baptist Memorial Hospital
- Methodist Healthcare - Olive Branch Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.76 of 100
- Quality
- 69.4
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 89.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Melanoma (skin cancer) excision | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25565 | MS | MD | Urology Physician |
| 56751 | TN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conrad Pearson Clinic PC | Urology | Current | Accepting new patients |
| Conrad Pearson Clinic PC | Urology | Current | Accepting new patients |
| Conrad Pearson Clinic | Past | Accepting new patients |
Locations
125 Guthrie Dr
Southaven, MS 38671
Phone (601) 349-1964
1325 Wolf Park Dr
Ste 103
Memphis, TN 38138
3145 Players Club Pkwy
Memphis, TN 38125
Phone (901) 252-3400
1325 Wolf Park Dr
Ste 102
Memphis, TN 38138
Phone (901) 252-3400
Interoperability endpoints
- michael.granieri.p1@direct.cpc.nextgenshare.com
- mgranieri30391@mlh.direct-ci.com
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Cordova, TN
- NPI 1285486241
Urology
-
- Medical Specialty Clinic/Center
- Germantown, TN
- NPI 1174864946
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1992095541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 WOLF PARK DR",
"address_2": "STE 103",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381759",
"telephone_number": "901-252-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 WOLF PARK DR STE 102",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381759",
"telephone_number": "901-252-3400",
"fax_number": "901-763-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANIERI",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-17",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MS",
"license": "25565",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "56751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.