Ron Mark, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

214773 Issued in NY

Practice address

2103 Deer Park Ave
Deer Park, NY 11729-1319

Phone

(631) 574-2060

NPI assigned

Jul 28, 2005

Last updated

Jun 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY, FL, ME, TN, MO, AZ, PA, NC, GA, IL, NH, TX, NJ, NM, CA, HI, NV, WA, WI19 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 19

Specialty

Diagnostic Radiology

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Mobile Ultrasound LLCGroup PAC ID 4183761893, 16 clinicians

Kan-Di-Ki LLCGroup PAC ID 5991737140, shared by 13 NPIs, 38 clinicians

Southwest Medical Center, IncGroup PAC ID 9335040450, 8 clinicians

Vesta Telemedicine Solutions PLLCGroup PAC ID 9638585706, 39 clinicians

North East Medical ServicesGroup PAC ID 4284520529, shared by 23 NPIs, 143 clinicians

North Star FM LPGroup PAC ID 1153591763, 22 clinicians

North Star MCD LLCGroup PAC ID 2668659434, 77 clinicians

North Star FP LPGroup PAC ID 6800168576, 49 clinicians

North Star Diagnostic Imaging LLCGroup PAC ID 8729118021, 69 clinicians

Glen Cove Radiologic Imaging LLCGroup PAC ID 6800282468, 2 clinicians

Mark Medical Care PLLCGroup PAC ID 9234365982, 8 clinicians

North Star MRI of Frisco LPGroup PAC ID 2769574854, 72 clinicians

North Star MRI LPGroup PAC ID 5890762330, 54 clinicians

Radiologica IncGroup PAC ID 8820337769, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
• Haskell Memorial Hospital Hospital, Haskell, TX, CCN 451341
• Mitchell County Hospital District Hospital, Colorado City, TX, CCN 451342
• Anson General Hospital Hospital, Anson, TX, CCN 670781

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (60 of 82)

Locations (25 of 86)

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/JGBGAA/Endpoint/JGBGAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark Medical Care, PLLC

  • Specialist
  • Deer Park, NY
  • NPI 1962745398
  Medicare reassignment Care Compare group NPD Authorized official
• Glen Cove Radiologic Imaging LLC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1528715158
  Medicare reassignment Care Compare group NPD
• North Star Diagnostic Imaging, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1467787739

  NY

  Medicare reassignment Care Compare group NPD
• North Star FM, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Flower Mound, TX
  • NPI 1174812028

  NY

  Medicare reassignment Care Compare group NPD
• North Star FP, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1033630835

  NY

  Medicare reassignment Care Compare group NPD
• North Star MCD, LLC

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Fort Worth, TX
  • NPI 1700550282

  NY

  Medicare reassignment Care Compare group NPD
• North Star MRI LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Allen, TX
  • NPI 1033174701

  NY

  Medicare reassignment Care Compare group NPD
• North Star MRI of Frisco LP

  • Radiology Clinic/Center
  • Frisco, TX
  • NPI 1649356759

  NY

  Medicare reassignment Care Compare group NPD
• Radiologica Inc.

  • Diagnostic Radiology Physician
  • San Andreas, CA
  • NPI 1073000105

  NY

  Medicare reassignment Care Compare group NPD
• Vesta Telemedicine Solutions, PLLC

  dba Vesta Radiology Services

  • Diagnostic Radiology Physician
  • Glendale, CA
  • NPI 1952902116

  NY, TX

  Medicare reassignment Care Compare group NPD
• Mark Medical Care Nassau PLLC

  • Specialist
  • Roslyn Heights, NY
  • NPI 1609252907
  Medicare reassignment Authorized official
• Community Mobile Ultrasound, LLC

  dba TridentCare

  • Diagnostic Ultrasound Physician
  • Oceanside, CA
  • NPI 1760620959

  GA, IL, NY, TX

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anson Hospital District

  • Rural Acute Care Hospital
  • Anson, TX
  • NPI 1457393571
  Care Compare affiliation
• Granbury Hospital Corporation

  dba Lake Granbury Medical Center

  • General Acute Care Hospital
  • Granbury, TX
  • NPI 1114998911
  Care Compare affiliation
• Haskell County Hospital

  dba Haskell Memorial Hospital

  • Critical Access Hospital
  • Haskell, TX
  • NPI 1184607897
  Care Compare affiliation
• Haskell County Hospital

  dba Haskell Memorial Hospital Clinic

  • Clinic/Center
  • Haskell, TX
  • NPI 1396175683

  Hospital

  Care Compare affiliation
• Mitchell County Hospital District

  • Critical Access Hospital
  • Colorado City, TX
  • NPI 1184631673
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1013917301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291319",
            "telephone_number": "631-574-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291319",
            "telephone_number": "631-574-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "RON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "36126885",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "214773",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "TM2010-0634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02583631",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00221729",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Mancini, MSPT
• Jesslynn Mannino, NP
• Valerie Nicole Marino
• Allison Marinos
• Mark Medical Care, PLLC
• Jacquelyn Martin
• Masoom H. Qadeer, M.D., P.C.
• Seena Merin Mathew
• Teresa Mattutat
• Andrea Mazz, LPN

• Diagnostic Radiology Physician in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.

Verify at the official NPI Registry.