Active NPI
Mark A. Pithan, M.D.
- Neurology Physician
- Kamuela, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD23591
- Practice address
- 65-1267 Kawaihae Rd
Kamuela, HI 96743-7345 - Phone
- (808) 881-4745
- NPI assigned
- Apr 24, 2006
- Last updated
- Oct 16, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD-44690 | IA | |
| Neurology Physician | 2084N0400X | MD23591 | HI | Primary |
Addresses
Primary practice location
65-1267 Kawaihae Rd
Kamuela, HI 96743-7345
Mailing address
4700 E 56TH St Ste 100
Davenport, IA 52807-2904
Phone (563) 421-0480
Other practice location 1
4700 E 56th St Ste 100
Davenport, IA 52807-2904
Phone (563) 421-0480
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Mark.Pithan@direct.genesishealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Southern Illinois University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 881-4400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.85 of 100
- Quality
- 21.4
- Improvement activities
- 0
- Cost
- 76.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD23591 | HI | MD | Neurology Physician |
| MD-44690 | IA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| North Hawaii Community Hospital, Inc. | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Past | Accepting new patients | |
| Wilmington ASC LLC | Past | Accepting new patients | |
| Wilmington Health PLLC | Past | Accepting new patients |
Locations
65-1267 Kawaihae Rd
Kamuela, HI 96743
Phone (808) 881-4745
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
1351 W Central Park Ave
Ste 3300
Davenport, IA 52804
Phone (563) 383-2667
4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667
Networks
- HI PPO
Interoperability endpoints
- mark.pithan@direct.genesishealth.com
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
-
- Surgery Physician
- Davenport, IA
- NPI 1528616901
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1730327396
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
-
dba Wilmington Health Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Wilmington, NC
- NPI 1548456478
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1184680605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 E 56TH ST STE 100",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072904",
"telephone_number": "563-421-0480",
"fax_number": "563-421-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65-1267 KAWAIHAE RD",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967437345",
"telephone_number": "808-881-4745"
}
],
"practiceLocations": [
{
"address_1": "4700 E 56th St Ste 100",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528072904",
"country_code": "US",
"telephone_number": "563-421-0480",
"fax_number": "563-421-0489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PITHAN",
"first_name": "MARK",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-24",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IA",
"license": "MD-44690",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "HI",
"license": "MD23591",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Mark.Pithan@direct.genesishealth.com",
"affiliation": "N",
"endpointDescription": "Genesis Health System Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "4700 E 56th St Ste 100",
"city": "Davenport",
"state": "IA",
"country_code": "US",
"postal_code": "528072904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kamuela, HI
- Paniolo Pediatric and Family Medicine Inc
- Paniolo Pediatrics LLC
- Russell Alan Parker, D.O.
- Peter a. in, M.D., Inc. (Waimea Community Counseling Clinic)
- Sharon Ann Petrosky, LMHC
- Shaden Powell, M.ED
- Dodi Pritchett, BCBA, LBA
- Nina Hoomaikaiana Puckett, LMHC
- Puna Plantation Hawaii, LTD. (KTA Kamuela Pharmacy)
- Pure Life Chiropractic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.