Individual provider Active NPI

Mark Christopher Drew, M.D.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Amarillo, TX
National Provider Identifier
1043389141
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
J5312 Issued in TX
Practice address
1000 S Coulter St
Amarillo, TX 79106-1781
Phone
(806) 212-4700
Fax
(806) 212-4730
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X J5312 TX
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X J5312 TX Primary

Addresses

Primary practice location

1000 S Coulter St
Amarillo, TX 79106-1781

Mailing address

PO Box 840026
Dallas, TX 75284-0026
Phone (806) 212-6965

Other practice location 1

1500 Wallace Blvd
Amarillo, TX 79106-1794
Phone (806) 212-4700

Other identifiers 1

IdentifierTypeStateIssuer
124880907MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101111001451 TX Practitioner - General PracticePractitioner - Hospice/Palliative CarePractitioner - Undersea and Hyperbaric Medicine 2163617440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Undersea and Hyperbaric Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bsa Physicians Group IncGroup PAC ID 3971748146, 121 clinicians

Practice addresses (Care Compare)

1000 S Coulter St
Suite 100
Amarillo, TX 79106-1781
Phone (806) 212-4701

1751 Wallace Blvd
Amarillo, TX 79106-1711
Phone (806) 359-4673

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue53

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bsa Physicians Group Inc CurrentSince Aug 18, 2014 Accepting new patients
Bsa Physicians Group Inc CurrentSince Aug 18, 2014 Accepting new patients
St. Ann'S Nursing Home Past Accepting new patients
Amarillo Emergency Physicians LLP Past Accepting new patients
Access MD Healthcare Group, PLLC Past Accepting new patients

Locations

1000 S Coulter St
Amarillo, TX 79106
Phone (806) 353-6400

1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

1500 Wallace Blvd
Amarillo, TX 79106
Phone (806) 354-5500

Interoperability endpoints

  • Direct secure messaging: mdrew22808@ahs.direct-ci.com

Organizations & group practices 5

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1043389141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840026",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840026",
            "telephone_number": "806-212-6965",
            "fax_number": "806-212-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061781",
            "telephone_number": "806-212-4700",
            "fax_number": "806-212-4730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Wallace Blvd",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061794",
            "country_code": "US",
            "telephone_number": "806-212-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREW",
        "first_name": "MARK",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J5312",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "J5312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124880907",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.