Active NPI
Mark Byaliy, PA-C
- Physician Assistant
- Mount Pleasant, WI
National Provider Identifier
1083155063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5439 Durand Ave Ste 100
Mount Pleasant, WI 53406-5058 - Phone
- (262) 898-9000
- NPI assigned
- Mar 10, 2017
- Last updated
- Oct 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | WI | Primary | |
| Athletic Trainer | 2255A2300X | NU |
Addresses
Primary practice location
5439 Durand Ave Ste 100
Mount Pleasant, WI 53406-5058
Mailing address
5439 Durand Ave Ste 100
Mount Pleasant, WI 53406-5058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5439 Durand Ave
Suite 100
Mount Pleasant, WI 53406-5058
Phone (262) 898-9000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BSH, SC | Current | Accepting new patients |
Locations
5439 Durand Ave
Ste 100
Mount Pleasant, WI 53406
Phone (262) 898-9000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBAGDD/Endpoint/BBAGDD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1083155063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5439 DURAND AVE STE 100",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534065058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5439 DURAND AVE STE 100",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534065058",
"telephone_number": "262-898-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYALIY",
"first_name": "MARK",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-10",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": null,
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.