Individual provider Active NPI

Michael Granieri, M.D.

  • Urology Physician
  • Germantown, TN
National Provider Identifier
1992095541
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
56751 Issued in TN
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

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180731001766 TN Practitioner - Urology 2769750298 Reassigns benefits to 1 organization
I20180807001140 MS Practitioner - Urology 2769750298 Reassigns benefits to 1 organization

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
Conrad Pearson Clinic PCGroup PAC ID 7315832649, 23 clinicians

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 Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
69.4
Promoting interoperability
100
Improvement activities
40
Cost
89.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Melanoma (skin cancer) excision32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25565MSMDUrology Physician
56751TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conrad Pearson Clinic PC Urology CurrentSince Aug 1, 2018 Accepting new patients
Conrad Pearson Clinic PC Urology CurrentSince Aug 1, 2018 Accepting new patients
Conrad Pearson Clinic PastSince Dec 21, 2021 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

  • Direct secure messaging: michael.granieri.p1@direct.cpc.nextgenshare.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.