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MARC S MATSUMURA
NPI 1124695952
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since June 09, 2021PECOS Enrolled
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163(901) 448-4795 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2023, Jun 9, 2021 (2 updates tracked since 2021).

About Marc S Matsumura NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARC S MATSUMURA (NPI 1124695952) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124695952
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARC S MATSUMURA
Location AddressUNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447Memphis, TN 38163-0001
Mailing AddressUniversity Of Tennessee 920 Madison Avenue Suite 447Memphis, TN 38163-0001 · (901) 448-4795
Phone(901) 448-4795
Sole ProprietorNo
Enumeration DateJune 9, 2021
Last NPPES UpdateApril 12, 20232 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
✔ NPI 1124695952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447, Memphis, TN 38163
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc S Matsumura is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MOHAMED KAMAL MAHMOUD ELNAEIM MD
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814
DR. VIRGINIA KATHERINE NISBET DO
Emergency Medicine
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (615) 396-6449
DR. AKINTAYO ADEDAPO AKINLEYE MD, MPH, CIC
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5759
MONISHA KRISHNA MURTHY MD
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-3714
SAMUEL HENRY SMITH M.D.
Otolaryngology (Plastic Surgery within the Head & Neck)
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5885
DR. DHAVAL S SHAH MD
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814
DR. REMA KANAKRIEH DO
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (615) 396-6454
DANIEL SLABAUGH DO
Pediatrics
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Matsumura's NPI number?

The NPI number for Marc Matsumura is 1124695952. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Marc Matsumura located?

Marc Matsumura practices at University Of Tennessee 920 Madison Avenue Suite 447, Memphis, TN 38163. The listed phone number is (901) 448-4795.

What is Marc Matsumura's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marc Matsumura enrolled in Medicare?

Yes. Marc Matsumura is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marc Matsumura was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.