Individual provider Active NPI

Mark Edward Lytle, M.D.

  • Vascular Surgery Physician
  • Pensacola, FL
National Provider Identifier
1053504308
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME125365 Issued in FL
Practice address
5149 N 9TH Ave
Suite 120
Pensacola, FL 32504-8756
Phone
(850) 479-1805
Fax
(850) 479-1829
NPI assigned
Aug 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME125365 FL
Vascular Surgery Physician 2086S0129X ME125365 FL Primary

Addresses

Primary practice location

5149 N 9TH Ave
Suite 120
Pensacola, FL 32504-8756

Mailing address

PO Box 11982
Pensacola, FL 32524-1982
Phone (850) 479-1805

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MARK.LYTLE@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160917000419 FL Practitioner - Vascular Surgery 1557671088 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Mississippi School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians

Practice addresses (Care Compare)

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000

1824 King St
Suite 200
Jacksonville, FL 32204-4736
Phone (904) 384-3343

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME125365FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 17, 2024 Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA Surgery CurrentSince Apr 1, 2021 Accepting new patients
Coastal Vascular and Interventional PLLC Vascular Surgery CurrentSince May 1, 2016 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Surgery Current Accepting new patients
University of Florida Jacksonville Physicians Inc Surgery CurrentSince Jun 17, 2024 Accepting new patients

Locations

4012 Commons Dr W
Ste 110
Destin, FL 32541
Phone (850) 473-0990

1032 Mar Walt Dr
Unit 250
Ft Walton Bch, FL 32547
Phone (850) 682-0032

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

5970 Berryhill Rd
Milton, FL 32570

7720 US Highway 98 W
Ste 240
Miramar Beach, FL 32550
Phone (850) 502-5989

2301 N 9th Ave
Ste 100
Pensacola, FL 32503
Phone (850) 912-8249

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223

5149 N 9th Ave
Ste 120
Pensacola, FL 32504
Phone (850) 426-5191

Interoperability endpoints

  • Direct secure messaging: mlytle725124@direct.shands.ufl.edu
  • Direct secure messaging: mlytle@cvi.curemd.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 2

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1053504308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11982",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325241982",
            "telephone_number": "850-479-1805",
            "fax_number": "850-479-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5149 N 9TH AVE",
            "address_2": "SUITE 120",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048756",
            "telephone_number": "850-479-1805",
            "fax_number": "850-479-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME125365",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME125365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MARK.LYTLE@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5149 N 9th Ave",
            "address_2": "SUITE 120",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325048756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.