Individual provider Active NPI

Mark Mitchell, MD

  • Obstetrics & Gynecology Physician
  • Washington, DC
National Provider Identifier
1225009020
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD15018 Issued in DC
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036306900MedicaidDC
010121264MedicaidDC
007700300MedicaidDC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000905 DC Practitioner - Obstetrics/Gynecology 3274582846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as group
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

LicenseStateTypeSpecialty
MD15018DCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2025 Accepting new patients
WHC Emerg Phys CurrentSince Oct 1, 2013 Accepting new patients
WHC Physician Group LLC CurrentSince Oct 1, 2013 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.

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

Verify at the official NPI Registry.