Active NPI
Mark Henry Zielinski, M.D.
- Psychiatry Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 09052R
- Practice address
- 5131 Odonovan Dr
Ste. 300
Baton Rouge, LA 70808-4782 - Phone
- (225) 374-0400
- Fax
- (225) 374-0430
- NPI assigned
- Jan 10, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 09052R | LA | |
| Geriatric Psychiatry Physician | 2084P0805X | 09052R | LA | |
| Psychiatry Physician | 2084P0800X | 09052R | LA | Primary |
Addresses
Primary practice location
5131 Odonovan Dr
Ste. 300
Baton Rouge, LA 70808-4782
Mailing address
5131 Odonovan Dr
Ste. 300
Baton Rouge, LA 70808-4782
Phone (225) 374-0400
Other practice location 1
433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-7152
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5R123D497 | Other | MEDICARE | |
| 08926398 | Medicaid | MS | |
| 1931268 | Medicaid | LA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | mzielinski6291@direct.casso.us.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Texas Medical School at Houston, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5131 Odonovan Dr
Suite 300
Baton Rouge, LA 70808-4782
Phone (225) 765-7778
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09052R | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Psychiatry | Current | Accepting new patients |
| Our Lady of the Lake Physician Group LLC | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Past | Accepting new patients |
Locations
5131 Odonovan Dr
Ste 300
Baton Rouge, LA 70808
Phone (225) 374-0400
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
8080 Margaret Ann Ave
Baton Rouge, LA 70809
Phone (225) 765-4353
7777 Hennessy Blvd
Ste 6000
Baton Rouge, LA 70808
Phone (225) 765-8648
5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050
Interoperability endpoints
- mzielinski6291@direct.casso.us.com
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.
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1033494943
Psychiatry
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baton Rouge, LA
- NPI 1235912502
-
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1194875625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5131 ODONOVAN DR",
"address_2": "STE. 300",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084782",
"telephone_number": "225-374-0400",
"fax_number": "225-374-0430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5131 ODONOVAN DR",
"address_2": "STE. 300",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084782",
"telephone_number": "225-374-0400",
"fax_number": "225-374-0430"
}
],
"practiceLocations": [
{
"address_1": "433 Plaza St",
"address_purpose": "LOCATION",
"city": "Bogalusa",
"state": "LA",
"postal_code": "704273729",
"country_code": "US",
"telephone_number": "985-730-7152",
"fax_number": "985-730-7159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIELINSKI",
"first_name": "MARK",
"middle_name": "HENRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "09052R",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "LA",
"license": "09052R",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "09052R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "5R123D497",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08926398",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1931268",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "5131 ODonovan Dr",
"address_2": "Ste. 300",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708084782",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mzielinski6291@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mzielinski6291@direct.casso.us.com",
"address_1": "5131 ODonovan Dr",
"address_2": "Ste. 300",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708084782",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.