Individual provider Active NPI

Mark P Bielawny, M.D.

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1104816263
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME66424 Issued in FL
Practice address
12780 Waterford Lakes Pkwy Ste 120
Orlando, FL 32828-4501
Phone
(407) 380-5888
Fax
(407) 384-1102
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME66424 FL Primary

Addresses

Primary practice location

12780 Waterford Lakes Pkwy Ste 120
Orlando, FL 32828-4501

Mailing address

12780 Waterford Lakes Pkwy Ste 120
Orlando, FL 32828-4501
Phone (407) 380-5888

Other identifiers 1

IdentifierTypeStateIssuer
375719600MedicaidFL

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
I20100324001145 FL Practitioner - Obstetrics/Gynecology 3476689803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

83 W Miller St
Orlando, FL 32806-2031
Phone (321) 841-8555

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME66424FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 30, 2010 Accepting new patients
Orlando Health Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 30, 2010 Accepting new patients
Orlando Health, Inc. Past Accepting new patients

Locations

2000 N Alafaya Trl
Ste 800
Orlando, FL 32826
Phone (321) 842-8051

12780 Waterford Lakes Pkwy
Ste 120
Orlando, FL 32828
Phone (407) 380-5888

32 W Gore St
Fl 3
Orlando, FL 32806
Phone (321) 841-3303

12780 Waterford Lakes Pkwy
Ste 125
Orlando, FL 32828
Phone (407) 380-5888

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

4401 S Orange Ave
Ste 113
Orlando, FL 32806

105 W Miller St
Orlando, FL 32806
Phone (407) 237-6372

7404 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 381-7387

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mbielawny26597@orlandohealth.medalliesdirect.net

Organizations & group practices 4

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1104816263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12780 WATERFORD LAKES PKWY STE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284501",
            "telephone_number": "407-380-5888",
            "fax_number": "407-384-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12780 WATERFORD LAKES PKWY STE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284501",
            "telephone_number": "407-380-5888",
            "fax_number": "407-384-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELAWNY",
        "first_name": "MARK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME66424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375719600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.