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JOSEPH P. SHRUM MD
NPI 1417040213
Dermatology in Gulfport, MS

Active since October 02, 2006PECOS Enrolled
1245 42ND AVE, GULFPORT, MS 39501(228) 864-8049(228) 864-7655 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Joseph P. Shrum Md NPPES

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

JOSEPH P. SHRUM MD (NPI 1417040213) is an individual dermatology provider in Gulfport, Mississippi, licensed in Mississippi (11871) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417040213
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJOSEPH P. SHRUMCredential: MD
Location Address1245 42ND AVEGulfport, MS 39501-2666
Mailing Address1245 42nd AveGulfport, MS 39501-2666 · (228) 864-8049 · Fax (228) 864-7655
Phone(228) 864-8049
Fax(228) 864-7655
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateFebruary 5, 2014
✔ NPI 1417040213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MS · 11871
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1245 42ND AVE, Gulfport, MS 39501
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Other Identifiers 4

Other11871MS · Medical Lic
Medicare UPINB65163LA
Medicare ID-Type Unspecified54793LA
Medicaid1316202LA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph P. Shrum Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Shrum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tulane Dermatology Affiliates
Same address
Dermatology
1245 42ND AVENUE
Gulfport, MS 39501
  • Reassigned Medicare billing, Mississippi enrollment
  • 3 clinicians in this Medicare group
NPI 1821285438 (228) 864-8049

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. ALAN LEWIS MD
Dermatology
1245 42ND AVE
GULFPORT, MS 39501
Harrison County (228) 864-8049

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 Joseph Shrum's NPI number?

The NPI number for Joseph Shrum is 1417040213. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Joseph Shrum located?

Joseph Shrum practices at 1245 42nd Ave, Gulfport, MS 39501. The listed phone number is (228) 864-8049.

What is Joseph Shrum's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Joseph Shrum enrolled in Medicare?

Yes. Joseph Shrum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joseph Shrum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Shrum reassigns Medicare benefits to Tulane Dermatology Affiliates (Gulfport, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Shrum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joseph Shrum was last updated on February 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.