Individual provider Active NPI

Mark D Arredondo, MD

  • Internal Medicine Physician
  • Akron, OH
National Provider Identifier
1235338575
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35097971 Issued in OH
Practice address
1400 S Arlington St
Akron, OH 44306-3750
Phone
(330) 724-5471
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35097971 OH Primary

Addresses

Primary practice location

1400 S Arlington St
Akron, OH 44306-3750

Mailing address

1400 S Arlington St
Akron, OH 44306-3750
Phone (330) 724-5471

Other identifiers 1

IdentifierTypeStateIssuer
0055310MedicaidOH

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
I20111116000319 OH Practitioner - Internal MedicinePractitioner - Emergency Medicine 4981897089 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35097971OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portage County Auditor CurrentSince Jan 1, 2023 Accepting new patients
Portage County Combined General Health District CurrentSince Jan 1, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Bes of Ohio, LLC, Dba Medgroup PastSince Aug 1, 2014 Accepting new patients
Nes Ohio Inc Past Accepting new patients
Mobile Emergency Group PC Past Accepting new patients

Locations

999 E Main St
Ravenna, OH 44266
Phone (330) 296-9919

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1235338575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S ARLINGTON ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063750",
            "telephone_number": "330-724-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S ARLINGTON ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063750",
            "telephone_number": "330-724-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREDONDO",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35097971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055310",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.