NPIMap

Individual provider Active NPI

Mark E Sturgill, D.O.

  • Diagnostic Radiology Physician
  • Hopkinsville, KY
National Provider Identifier
1104848506
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
02983 Issued in KY
Practice address
215 W 17TH St
Hopkinsville, KY 42240-1911
Phone
(270) 885-3414
Fax
(270) 885-7631
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 02983 KY Primary
Diagnostic Radiology Physician 2085R0202X DR.0053540 CO
Diagnostic Radiology Physician 2085R0202X 02002431A IN

Addresses

Primary practice location

215 W 17TH St
Hopkinsville, KY 42240-1911

Mailing address

PO Box 595
Hopkinsville, KY 42241-0595
Phone (270) 885-3414

Other identifiers 3

IdentifierTypeStateIssuer
7100002420MedicaidKY
000000513859OtherKYBLUE CROSS/BLUE SHIELD
200377650AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050718000529 IN Practitioner - Diagnostic Radiology 8527095926 Reassigns benefits to 1 organization
I20070713000108 KY Practitioner - Diagnostic Radiology 8527095926 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Nova Southeastern College of Osteo Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennyrile Radiology, PSCGroup PAC ID 6507830692, 4 clinicians

Practice addresses (Care Compare)

320 W 18TH St
Hopkinsville, KY 42240-1965
Phone (270) 887-6852

Hospital & facility affiliations

  • Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051
  • Caldwell Medical Center Hospital, Princeton, KY, CCN 181322
  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093
  • Trigg County Hospital Hospital, Cadiz, KY, CCN 181304
  • Livingston Hospital and Healthcare Services, Inc Hospital, Salem, KY, CCN 181320

Merit-based Incentive Payment System (MIPS)

Final score
51.82 of 100Reported as group
Quality
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0053540COMDDiagnostic Radiology Physician
02002431AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Direct Imaging LLC CurrentSince Jun 16, 2017 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Dec 31, 2017 Accepting new patients
Central Kentucky Imaging Diagnostic Radiology Past Accepting new patients
Patoka Valley Radiology, PC Diagnostic Radiology Past Accepting new patients
Dubois Co Phy Services Past Accepting new patients
Advanced Diagnostic Imaging, PC Diagnostic Radiology Past Accepting new patients
Radiology Imaging Consultants S C Diagnostic Radiology Past Accepting new patients

Locations

5924 Reliable Pkwy
Chicago, IL 60686

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

Organizations & group practices 10

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 5

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1104848506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422410595",
            "telephone_number": "270-885-3414",
            "fax_number": "270-885-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 17TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401911",
            "telephone_number": "270-885-3414",
            "fax_number": "270-885-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGILL",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "02983",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0053540",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "02002431A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100002420",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000513859",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200377650A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.