Active NPI
Mark C. Pyles, MD
- Surgery Physician
- Berwick, PA
National Provider Identifier
1154328110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD028609E
- Practice address
- 695 E. 16TH St
Suite C
Berwick, PA 18603 - Phone
- (570) 759-1833
- Fax
- (570) 759-0314
- NPI assigned
- Jul 6, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD028609E | PA | Primary |
Addresses
Primary practice location
695 E. 16TH St
Suite C
Berwick, PA 18603
Mailing address
695 E. 16TH St
Suite C
Berwick, PA 18603
Phone (570) 759-1833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010468370002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100303000790 | PA | Practitioner - General Surgery | 4789729617 | Practice locations: Berwick, PA |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Hahnemann University College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
Hospital & facility affiliations
- Commonwealth Home Health & Hospice of Berwick
- Geisinger Medical Center
- Geisinger-Bloomsburg Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Colonoscopy | 64 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 15 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD028609E | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- State College, PA
- NPI 1245588946
-
- Physical Therapist
- Cranberry Township, PA
- NPI 1720084155
-
- Clinical Medical Laboratory
- Kingston, PA
- NPI 1932271624
Hospital & facility affiliations 29
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Berwick, PA
- NPI 1639103534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1154328110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 E. 16TH ST",
"address_2": "SUITE C",
"city": "BERWICK",
"state": "PA",
"postal_code": "18603",
"telephone_number": "570-759-1833",
"fax_number": "570-759-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 E. 16TH ST",
"address_2": "SUITE C",
"city": "BERWICK",
"state": "PA",
"postal_code": "18603",
"telephone_number": "570-759-1833",
"fax_number": "570-759-0314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYLES",
"first_name": "MARK",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-06",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD028609E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010468370002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berwick, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.