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DR. MARK ABI NADER M.D.
NPI 1841538147
Internal Medicine - Nephrology in Memphis, TN

Active since January 21, 2013PECOS EnrolledAccepts Medicare Assignment
80.89/100
CMS Quality Rating
3950 NEW COVINGTON PIKE, SUITE 300, MEMPHIS, TN 38128(901) 382-5256(901) 382-3731 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Abi Nader M.d. NPPES

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

DR. MARK ABI NADER M.D. (NPI 1841538147) is an individual nephrology provider in Memphis, Tennessee, licensed in Tennessee (MD52513) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1841538147
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MARK ABI NADERCredential: M.D.
Location Address3950 NEW COVINGTON PIKE, SUITE 300Memphis, TN 38128
Mailing Address3950 New Covington Pike, Suite 300Memphis, TN 38128-2591 · (901) 382-5256 · Fax (901) 382-3731
Phone(901) 382-5256
Fax(901) 382-3731
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 21, 2013
Last NPPES UpdateMay 24, 2018
✔ NPI 1841538147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TN · MD52513
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD52513 (TN)
3950 NEW COVINGTON PIKE, Memphis, TN 38128
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Abi Nader M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921316753
PECOS Enrollment IDI20150929000500
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
522 services183 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
493 services240 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
491 services206 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
160 services144 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
86 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
75 services75 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440131
Location1995 Highway 51 SCovington, TN 38019 · Tipton County
Emergency services Birthing friendly

St Francis Hospital

Acute Care Hospitals · Memphis, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440183
Location5959 Park AveMemphis, TN 38119 · Shelby County
Emergency services Birthing friendly

Saint Francis Bartlett Medical Center

Acute Care Hospitals · Bartlett, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440228
Location2986 Kate Bond RdBartlett, TN 38133 · Shelby County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38128 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.05
Improvement Activities40
Cost44.34

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%126 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
60%63 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
89%205 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,503 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%389 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%626 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%566 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%167 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 447 patients
Patients screened: 100% · 447 patients
100%40 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 402 patients
Patients totalRate: 0% · 402 patients
0%402 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers15 claims2,100 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers15 claims15 services$17.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

MRS. DOROTHY EDWARDS ALEXANDER FNP
Nurse Practitioner
3950 NEW COVINGTON PIKE, STE 300
MEMPHIS, TN 38128
Shelby County (901) 382-5256
NORTH SURGERY CENTER LP
Clinic/Center (Ambulatory Surgical)
3950 NEW COVINGTON PIKE, SUITE 100
MEMPHIS, TN 38128
Shelby County (901) 373-1991
KIDNEY CARE CONSULTANTS, P.C.
Specialist
3950 NEW COVINGTON PIKE, SUITE 300
MEMPHIS, TN 38128
Shelby County (901) 382-5256
MRS. ERIN EMPTING ORTIZ N.P.
Nurse Practitioner (Family)
3950 NEW COVINGTON PIKE, 130
MEMPHIS, TN 38128
Shelby County (901) 388-0404
WOMENS GENERATIONAL CARE OBSTETRICS & GYNECOLOGY PLLC
Specialist
3950 NEW COVINGTON PIKE, #220
MEMPHIS, TN 38128
Shelby County (901) 259-4100
JUDIANN MCNIFF JONES PH.D.
Psychologist (Clinical)
3950 NEW COVINGTON PIKE
MEMPHIS, TN 38128
Shelby County (901) 387-2900
REKHA PILLAI MD
Psychiatry & Neurology (Neurology)
3950 NEW COVINGTON PIKE, STE 270
MEMPHIS, TN 38128
Shelby County (901) 387-2120
MEMPHIS SURGICAL SPECIALISTS, PC
Surgery
3950 NEW COVINGTON PIKE, SUITE 200
MEMPHIS, TN 38128
Shelby County (901) 382-3333

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 Mark Abi Nader's NPI number?

The NPI number for Mark Abi Nader is 1841538147. It was assigned to this individual provider in the NPPES registry on January 21, 2013.

Where is Mark Abi Nader located?

Mark Abi Nader practices at 3950 New Covington Pike Suite 300, Memphis, TN 38128. The listed phone number is (901) 382-5256.

What is Mark Abi Nader's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mark Abi Nader enrolled in Medicare?

Yes. Mark Abi Nader is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Abi Nader accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Mark Abi Nader as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Abi Nader affiliated with any hospitals?

According to CMS data, Mark Abi Nader is affiliated with Baptist Memorial Hospital, Methodist Hospitals Of Memphis, Baptist Memorial Hospital Tipton, St Francis Hospital and Saint Francis Bartlett Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Abi Nader was last updated on May 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.