Individual provider Active NPI

Mark Carroll Hughes, M.D.

  • Emergency Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1205861572
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101102560 Issued in VA
Practice address
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone
(757) 312-6200
Fax
(757) 312-6181
NPI assigned
Jul 12, 2006
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD034914 DC
Emergency Medicine Physician 207P00000X 0101102560 VA Primary

Addresses

Primary practice location

736 Battlefield Blvd N
Chesapeake, VA 23320-4941

Mailing address

109 G Gainsborough Square
Box 723
Chesapeake, VA 23320
Phone (757) 490-9388

Other identifiers 3

IdentifierTypeStateIssuer
P01735379OtherVARR MEDICARE
1205861572MedicaidVA
VVM509AOtherVAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070306000721 DC Practitioner - Emergency Medicine 2062515364 Reassigns benefits to 1 organization
I20070306000725 VA Practitioner - Emergency Medicine 2062515364 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Eastern Virginia Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Observation Medicine Specialists PCGroup PAC ID 3577045053, 19 clinicians
Tidewater Emergency Medical Care, LTD..Group PAC ID 4183538150, 18 clinicians

Practice addresses (Care Compare)

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 490-9388

736 Battlefield N Blvd
Chesapeake, VA 23320-4941
Phone (757) 312-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as group
Quality
88.62
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD034914DCMDEmergency Medicine Physician
0101102560VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Emergency Physicians PC Emergency Medicine CurrentSince Jul 1, 2007 Accepting new patients
Tidewater Emergency Medical Care, LTD. Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Chesapeake Observation Medicine Specialists, P.C. Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients
Tidewater Emergency Medical Care PastSince Feb 2, 2020 Accepting new patients
Commonwealth Emergency Physicians PC PastSince Apr 17, 2020 Accepting new patients
Virginia Emergency Medicine Assoicates, LTD PastSince Apr 30, 2023 Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

109 Gainsborough Sq
Ste G
Chesapeake, VA 23320

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Organizations & group practices 6

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 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1205861572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 G GAINSBOROUGH SQUARE",
            "address_2": "BOX 723",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-490-9388",
            "fax_number": "757-490-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 BATTLEFIELD BLVD N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204941",
            "telephone_number": "757-312-6200",
            "fax_number": "757-312-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "MARK",
        "middle_name": "CARROLL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-11-22",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD034914",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101102560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01735379",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205861572",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "VVM509A",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.