Individual provider Active NPI

Andrew William Mack, M.D.

  • Orthopaedic Surgery Physician
  • Bethesda, MD
National Provider Identifier
1063517175
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101240152 Issued in VA
Practice address
8901 Wisconsin Ave
Bethesda, MD 20889-0004
Phone
(301) 295-4290
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101240152 VA Primary

Addresses

Primary practice location

8901 Wisconsin Ave
Bethesda, MD 20889-0004

Mailing address

8901 Wisconsin Ave
Bethesda, MD 20889-0004
Phone (301) 295-4290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150106000112 NY Practitioner - Orthopedic Surgery 6406027796 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

192 Park Club LN
Williamsville, NY 14221-5270

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 837-2400

2605 Harlem Rd
Cheektowaga, NY 14225-4018
Phone (716) 837-2400

2950 Elmwood Ave
Kenmore, NY 14217-1304

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

4901 Camp Rd
Suite 100
Hamburg, NY 14075-2625
Phone (716) 204-1101

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 837-2400

Hospital & facility affiliations

  • McAuley Seton Home Care Corp Chha Home health agency, Buffalo, NY, CCN 337251
  • Willcare Chha (Buffalo) Home health agency, Buffalo, NY, CCN 337268
  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement53
Knee replacement56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince May 17, 2021 Accepting new patients
Kenmore Mercy Hospital CurrentSince Dec 1, 2024 Accepting new patients
Kenmore Mercy Hospital Current Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 16, 2021 Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 16, 2021 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince May 17, 2021 Accepting new patients
Orthopaedic Clinical Assoc Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3719 Union Rd
Ste 218
Cheektowaga, NY 14225
Phone (716) 206-1503

4901 Camp Rd
Ste 100
Hamburg, NY 14075

2950 Elmwood Ave
Ste 2034
Kenmore, NY 14217
Phone (716) 447-6100

5320 Military Rd
Ste 107
Lewiston, NY 14092
Phone (716) 297-1701

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

192 Park Club Ln
Ste 100
Williamsville, NY 14221
Phone (716) 667-7463

Organizations & group practices 8

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 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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1063517175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890004",
            "telephone_number": "301-295-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890004",
            "telephone_number": "301-295-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101240152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.