Individual provider Active NPI

Jaron Evan Mark, M.D.

  • Gynecologic Oncology Physician
  • San Antonio, TX
National Provider Identifier
1073888319
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
S5980 Issued in TX
Practice address
4383 Medical Dr
San Antonio, TX 78229-3307
Phone
(210) 593-5700
NPI assigned
Mar 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X S5980 TX Primary

Addresses

Primary practice location

4383 Medical Dr
San Antonio, TX 78229-3307

Mailing address

4383 Medical Dr
San Antonio, TX 78229-3307
Phone (210) 593-5700

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
I20200721000017 TX Practitioner - Gynecological Oncology 0547507428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Meharry Medical College School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

155 E Sonterra Blvd
Suite 200
San Antonio, TX 78258-3989
Phone (210) 593-5700

4383 Medical Dr
San Antonio, TX 78229-3307
Phone (210) 593-5700

5715 Rogers Rd
Suite 115
San Antonio, TX 78251-3764
Phone (210) 593-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.7 of 100Reported as group
Quality
62.04
Promoting interoperability
90
Improvement activities
40
Cost
84.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Oncology and Hematology, PLLC CurrentSince Aug 1, 2020 Accepting new patients
South Texas Oncology and Hematology, PLLC Gynecologic Oncology CurrentSince Aug 1, 2020 Accepting new patients

Locations

1420 River Rd
Ste 200
Boerne, TX 78006
Phone (830) 816-2552

502 Madison Oak Dr
Ste 120
San Antonio, TX 78258

5715 Rogers Rd
San Antonio, TX 78251

4383 Medical Dr
San Antonio, TX 78229
Phone (210) 593-2584

155 E Sonterra Blvd
Ste 200
San Antonio, TX 78258
Phone (210) 593-5875

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 3

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1073888319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293307",
            "telephone_number": "210-593-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293307",
            "telephone_number": "210-593-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "JARON",
        "middle_name": "EVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TX",
            "license": "S5980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.