Active NPI
Mark Mitchell, MD
- Obstetrics & Gynecology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD15018
- Practice address
- 110 Irving St NW RM 5B-18
Dept. of OB/GYN
Washington, DC 20010-3017 - Phone
- (202) 877-7473
- Fax
- (202) 877-7393
- NPI assigned
- Jan 30, 2006
- Last updated
- Jul 2, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD15018 | DC | Primary |
Addresses
Primary practice location
110 Irving St NW RM 5B-18
Dept. of OB/GYN
Washington, DC 20010-3017
Mailing address
1900 Mass Ave SE
Washington, DC 20003-2542
Phone (202) 548-6500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036306900 | Medicaid | DC | |
| 010121264 | Medicaid | DC | |
| 007700300 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 80.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD15018 | DC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients | |
| Not-for-Profit Hospital Corporation | Obstetrics & Gynecology | Past | Accepting new patients |
| Medlantic Healthcare Group | Past | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
110 Irving St NW
Rm 5B18
Washington, DC 20010
Phone (202) 877-7473
110 Irving St NW
Ste 2A2
Washington, DC 20010
Phone (301) 774-8882
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
12158 Central Ave
Ste 700
Mitchellville, MD 20721
Phone (202) 877-9992
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.
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-
- Specialist
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- NPI 1578777611
-
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Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1225009020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 MASS AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200032542",
"telephone_number": "202-548-6500",
"fax_number": "202-548-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW RM 5B-18",
"address_2": "DEPT. OF OB/GYN",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200103017",
"telephone_number": "202-877-7473",
"fax_number": "202-877-7393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "DC",
"license": "MD15018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036306900",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010121264",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007700300",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.