Individual provider Active NPI

Mark A Dawkins, MD

  • Dermatology Physician
  • Oklahoma City, OK
National Provider Identifier
1114909405
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
19539 Issued in OK
Practice address
13174 N Macarthur Blvd
Oklahoma City, OK 73142-3017
Phone
(405) 721-5555
Fax
(405) 470-7093
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 19539 OK Primary

Addresses

Primary practice location

13174 N Macarthur Blvd
Oklahoma City, OK 73142-3017

Mailing address

Dept 96-0317
Oklahoma City, OK 73196-0317
Phone (405) 521-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20100908001024 OK Practitioner - Dermatology 6406883263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Oklahoma College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark a Dawkins, MD, PCGroup PAC ID 6800823667, 4 clinicians

Practice addresses (Care Compare)

13174 N Macarthur Blvd
Oklahoma City, OK 73142-3017
Phone (405) 721-5555

Merit-based Incentive Payment System (MIPS)

Final score
79.69 of 100Reported as group
Quality
65.67
Improvement activities
40
Cost
78.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision41
Removal of tissue1-10
Removal of skin lesions1914
Removal or shaving of skin growth42
Skin biopsy399

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19539OKMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a Dawkins MD PC Dermatology CurrentSince Jul 21, 2000 Accepting new patients

Locations

13174 N MacArthur Blvd
Oklahoma City, OK 73142
Phone (405) 721-5555

Dept 960317
Oklahoma City, OK 73196

3366 NW Expressway St
Ste 720
Oklahoma City, OK 73112
Phone (405) 947-0676

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114909405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 96-0317",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960317",
            "telephone_number": "405-521-1969",
            "fax_number": "405-521-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13174 N MACARTHUR BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731423017",
            "telephone_number": "405-721-5555",
            "fax_number": "405-470-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "19539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.