Individual provider Active NPI

Mark Anthony Foglietti, DO

  • Plastic Surgery Physician
  • Beachwood, OH
National Provider Identifier
1205829686
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
34003551F Issued in OH
Practice address
22901 Millcreek Blvd
Suite 145
Beachwood, OH 44122-5728
Phone
(216) 292-6800
Fax
(216) 292-7775
NPI assigned
Aug 31, 2005
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
Plastic Surgery Physician 208200000X 34003551F OH Primary

Addresses

Primary practice location

22901 Millcreek Blvd
Suite 145
Beachwood, OH 44122-5728

Mailing address

22901 Millcreek Blvd
Suite 145
Beachwood, OH 44122-5728
Phone (216) 292-6800

Other identifiers 1

IdentifierTypeStateIssuer
0550498MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120516000268 OH Practitioner - Plastic and Reconstructive Surgery 7719944602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Ohio University, College of Osteopathic Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark a. Foglietti DO IncGroup PAC ID 6901863893, 2 clinicians

Practice addresses (Care Compare)

22901 Millcreek Blvd
Suite 145
Beachwood, OH 44122-5724
Phone (216) 292-6800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3551OHMDChiropractor
34003551FOHMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Mark a. Foglietti DO Inc Plastic Surgery CurrentSince Oct 8, 1997 Accepting new patients

Locations

275 Springside Dr
Ste 100
Akron, OH 44333
Phone (234) 466-4083

26900 Cedar Rd
Ste 120
Beachwood, OH 44122
Phone (216) 292-6800

22901 Millcreek Blvd
Ste 145
Highland Hills, OH 44122
Phone (216) 292-6800

Interoperability endpoints

  • Direct secure messaging: mfoglietti32818@direct.ccf.org

Organizations & group practices 2

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1205829686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22901 MILLCREEK BLVD",
            "address_2": "SUITE 145",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225728",
            "telephone_number": "216-292-6800",
            "fax_number": "216-292-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22901 MILLCREEK BLVD",
            "address_2": "SUITE 145",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225728",
            "telephone_number": "216-292-6800",
            "fax_number": "216-292-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLIETTI",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "34003551F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0550498",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.