NPIMap

Individual provider Active NPI

Mark D Carlson, M.D.

  • Internal Medicine Physician
  • Pittsburg, KS
National Provider Identifier
1184736498
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-22890 Issued in KS
Practice address
2401 S Tucker Ave Ste 1
Pittsburg, KS 66762-6619
Phone
(620) 231-1650
Fax
(620) 231-1685
NPI assigned
Aug 31, 2006
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-22890 KS Primary

Addresses

Primary practice location

2401 S Tucker Ave Ste 1
Pittsburg, KS 66762-6619

Mailing address

2401 S Tucker Ave Ste 1
Pittsburg, KS 66762-6619
Phone (620) 231-1650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050411001155 KS Practitioner - Internal Medicine 2264479310 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Pittsburg LLCGroup PAC ID 7618418088, 45 clinicians
Pittsburg Internal Medicine PAGroup PAC ID 9335032937, 2 clinicians

Practice addresses (Care Compare)

1 Mt Carmel Way
Pittsburg, KS 66762-7587

1 Mt Carmel Way FL
Pittsburg, KS 66762-7587
Phone (620) 231-6100

1300 E Centennial Dr
Mercy Clinic Pittsburg
Pittsburg, KS 66762-6650
Phone (602) 232-5705

2401 S Tucker Ave
1 Mercy Clinic Pittsburg
Pittsburg, KS 66762-6619
Phone (620) 232-0133

2711 S Rouse St B
Mercy Clinic Pittsburg Pediatrics
Pittsburg, KS 66762-6621
Phone (620) 230-0044

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29
Upper gastrointestinal (GI) endoscopy for acid reflux20
Melanoma (skin cancer) excision1-10
Removal of skin lesions59
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-22890KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Medical Laboratory, Inc Current Accepting new patients
Pittsburg Internal Medicine, P.a. Internal Medicine CurrentSince Jan 1, 1991 Accepting new patients
Pathology Laboratory Associates, Inc. Current Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. Internal Medicine CurrentSince Jan 1, 1992 Accepting new patients
Mercy Clinic Pittsburg LLC Internal Medicine CurrentSince Jul 23, 2024 Accepting new patients

Locations

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

2401 S Tucker Ave
Ste 1
Pittsburg, KS 66762
Phone (620) 231-1650

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGDDDD/Endpoint/GGDDDD

Organizations & group practices 5

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.

Hospital & facility affiliations 11

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1184736498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S TUCKER AVE STE 1",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626619",
            "telephone_number": "620-231-1650",
            "fax_number": "620-231-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S TUCKER AVE STE 1",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626619",
            "telephone_number": "620-231-1650",
            "fax_number": "620-231-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-22890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.