Individual provider Active NPI

Mark Allen Mamros, M.D.

  • Family Medicine Physician
  • Claysville, PA
National Provider Identifier
1245221829
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD044351E Issued in PA
Practice address
1263 Route 40 W
Claysville, PA 15323-1277
Phone
(724) 663-7731
Fax
(724) 663-9022
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD044351E PA Primary

Addresses

Primary practice location

1263 Route 40 W
Claysville, PA 15323-1277

Mailing address

1263 Route 40 W PO Box N
Claysville, PA 15323-1277
Phone (724) 663-7731

Other identifiers 2

IdentifierTypeStateIssuer
000501913OtherPAHIGHMARK
0012521100003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040427000526 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 8820085434 Reassigns benefits to 1 organization
Practice locations: Washington, PA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Primary Care Physicians, Inc.Group PAC ID 8527967256, 88 clinicians

Practice addresses (Care Compare)

1263 Route 40 W
Claysville, PA 15323-1277

336 N Main St
Evergreen Assisted Living
Washington, PA 15301-4326
Phone (724) 222-4227

4000 Waterdam Plaza Dr
Suite 280
MC Murray, PA 15317-2494
Phone (724) 620-0830

791 Locust Ave
Washington, PA 15301-2776
Phone (724) 222-1005

Hospital & facility affiliations

  • Allegheny Health Network Healthcare at Home Home Health Home health agency, Canonsburg, PA, CCN 398088
  • Amedisys Home Health of PA Home health agency, Uniontown, PA, CCN 397139
  • Ospta at Home Home health agency, Belle Vernon, PA, CCN 397798
  • Gateway Hospice Hospice, Pittsburgh, PA, CCN 391660
  • Ospta Hospice Hospice, Belle Vernon, PA, CCN 391766
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians, Inc. Family Medicine Current Accepting new patients
Preferred Primary Care Physicians, Inc. Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Claysville Family Practice Inc Family Medicine CurrentSince Feb 20, 2018 Accepting new patients
Preferred Primary Care Physicians CurrentSince Apr 1, 2024 Accepting new patients
Assisted Living at Evergreen, Inc. Past Accepting new patients

Locations

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

1263 State Route 40 W
Claysville, PA 15323
Phone (724) 663-7731

3928 Washington Rd
Ste 220
Mc Murray, PA 15317
Phone (724) 941-8877

4000 Waterdam Plaza Dr
Ste 280
McMurray, PA 15317
Phone (724) 260-0830

249 W McMurray Rd
McMurray, PA 15317
Phone (724) 941-7150

151 N Franklin St
Washington, PA 15301
Phone (412) 222-7240

Interoperability endpoints

  • Direct secure messaging: markmamrosmd@preferred.medentdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1245221829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 ROUTE 40 W PO BOX N",
            "city": "CLAYSVILLE",
            "state": "PA",
            "postal_code": "153231277",
            "telephone_number": "724-663-7731",
            "fax_number": "724-663-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 ROUTE 40 W",
            "city": "CLAYSVILLE",
            "state": "PA",
            "postal_code": "153231277",
            "telephone_number": "724-663-7731",
            "fax_number": "724-663-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMROS",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD044351E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000501913",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012521100003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claysville, PA

Sources for this page

Verify at the official NPI Registry.