Individual provider Active NPI

Mark Manabu Goto, M.D.

  • Otolaryngology Physician
  • Pensacola, FL
National Provider Identifier
1033189758
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
14167 Issued in WI
Practice address
125 Baptist Way Ste 5C
Pensacola, FL 32503-2274
Phone
(448) 227-6950
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2020032069 MO
Otolaryngology Physician 207Y00000X 14167 WI Primary
Otolaryngology Physician 207Y00000X ME74096 FL
Otolaryngology Physician 207Y00000X 41782 AL

Addresses

Primary practice location

125 Baptist Way Ste 5C
Pensacola, FL 32503-2274

Mailing address

29624 Network PL
Chicago, IL 60673-1296
Phone (608) 756-6278

Other practice location 1

1050 W 10th St
Rolla, MO 65401-2905
Phone (573) 364-9000

Other practice location 2

1301 Belleville Ave
Brewton, AL 36426-1306
Phone (251) 867-8061

Other practice location 3

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000

Other practice location 4

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899

Other practice location 5

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 364-9000

Other practice location 6

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, GA, IA, IL, TX, WI, IN8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20110215001162 FL Practitioner - Otolaryngology 6406036961 Reassigns benefits to 1 organization
I20201022000180 MI Practitioner - Otolaryngology 6406036961 Reassigns benefits to 2 organizations
I20240730003098 GA Practitioner - Otolaryngology 6406036961 Reassigns benefits to 1 organization
I20250117002373 IA Practitioner - Otolaryngology 6406036961 Reassigns benefits to 1 organization
I20250506001861 IL Practitioner - Otolaryngology 6406036961 Reassigns benefits to 1 organization
I20250624000392 TX Practitioner - Otolaryngology 6406036961 Reassigns benefits to 1 organization
I20251118001624 WI Practitioner - Otolaryngology 6406036961 Reassigns benefits to 9 organizations
I20260203004162 IN Practitioner - Otolaryngology 6406036961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Pittsburgh School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health Primary Care PartnersGroup PAC ID 4587568647, 2,283 clinicians
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians
Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000

226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800

2710 Saint Francis Dr
Waterloo, IA 50702-5619
Phone (319) 272-5000

350 W Columbia St
Suite 310
Evansville, IN 47710-1782
Phone (812) 425-2646

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

Hospital & facility affiliations

  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41782ALMDOtolaryngology Physician
2020032069MOMDOtolaryngology Physician
14167WIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma CurrentSince Jun 17, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jun 17, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Nov 18, 2025 Accepting new patients
Metropolitan Hospital CurrentSince Oct 1, 2020 Accepting new patients
Deaconess Clinic Inc CurrentSince Jan 5, 2026 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Aug 25, 2025 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Feb 1, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Nov 18, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 18, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Nov 18, 2025 Accepting new patients
Covenant Medical Center Inc CurrentSince Aug 25, 2025 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 18, 2025 Accepting new patients
Deaconess Clinic, Inc Otolaryngology CurrentSince Jan 5, 2026 Accepting new patients
Rockford Health Physicians CurrentSince May 12, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 18, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 18, 2025 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 18, 2025 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Feb 1, 2026 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 18, 2025 Accepting new patients
Phoebe Physician Group, Inc CurrentSince May 1, 2024 Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients
Memorial Hospital Inc Past Accepting new patients
Aaron B Stein MD PLLC PastSince Sep 24, 2018 Accepting new patients

Locations (25 of 29)

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

2710 Saint Francis Dr
Ste 411
Waterloo, IA 50702
Phone (319) 272-5805

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

350 W Columbia St
Ste 310
Evansville, IN 47710
Phone (812) 425-2646

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4015 Gateway Blvd
Newburgh, IN 47630
Phone (812) 858-6244

4055 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 252-4410

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

1801 Chukka Hina
Durant, OK 74701
Phone (580) 920-2100

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 7

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1033189758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29624 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731296",
            "telephone_number": "608-756-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BAPTIST WAY STE 5C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032274",
            "telephone_number": "448-227-6950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-364-9000",
            "fax_number": "573-202-2484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 BELLEVILLE AVE",
            "address_purpose": "LOCATION",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261306",
            "country_code": "US",
            "telephone_number": "251-867-8061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 E Riverside Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611142300",
            "country_code": "US",
            "telephone_number": "815-971-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-458-8899",
            "fax_number": "573-341-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-364-9000",
            "fax_number": "573-202-2484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTO",
        "first_name": "MARK",
        "middle_name": "MANABU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2020032069",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "14167",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME74096",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "41782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.