Individual provider Active NPI

Mark Joseph Pascuzzi, M.D.

  • Obstetrics & Gynecology Physician
  • Winchester, KY
National Provider Identifier
1033164207
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22056 Issued in KY
Practice address
225 Hospital Dr
BLDG B, Ste 255
Winchester, KY 40391-7676
Phone
(859) 744-2623
Fax
(859) 744-9421
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 22056 KY Primary

Addresses

Primary practice location

225 Hospital Dr
BLDG B, Ste 255
Winchester, KY 40391-7676

Mailing address

225 Hospital Dr
BLDG B, Ste 255
Winchester, KY 40391-7676
Phone (859) 744-2623

Other identifiers 2

IdentifierTypeStateIssuer
000000049460OtherKYBCBS
64220569MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000596 KY Practitioner - Obstetrics/Gynecology 6800845694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Pennsylvania State University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Health Solutions IncGroup PAC ID 9436301686, 59 clinicians

Practice addresses (Care Compare)

44 Water St
Owingsville, KY 40360-8944
Phone (606) 674-9776

455 Bullion Blvd
Winchester, KY 40391-2933
Phone (859) 744-2623

Hospital & facility affiliations

  • Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22056KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Health Solutions Inc CurrentSince Jun 1, 2020 Accepting new patients
Sterling Health Solutions, Inc CurrentSince Jun 1, 2020 Accepting new patients

Locations

209 N Maysville St
Ste 200
Mt Sterling, KY 40353
Phone (859) 404-4686

44 Water St
Owingsville, KY 40360
Phone (606) 674-9776

225 Hospital Dr
Ste 255
Winchester, KY 40391
Phone (859) 744-2623

455 Bullion Blvd
Winchester, KY 40391
Phone (859) 744-2623

Interoperability endpoints

  • Direct secure messaging: clrk_-_mark_pascuzzi_-_physician@yourcarecommunity.org
  • Direct secure messaging: mark.pascuzzi.1@25737.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1033164207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR",
            "address_2": "BLDG B, STE 255",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917676",
            "telephone_number": "859-744-2623",
            "fax_number": "859-744-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR",
            "address_2": "BLDG B, STE 255",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917676",
            "telephone_number": "859-744-2623",
            "fax_number": "859-744-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUZZI",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-03-07",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "22056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000049460",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64220569",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.