Individual provider Active NPI

Mark P Anstadt, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Dayton, OH
National Provider Identifier
1255331138
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35-056443 A Issued in OH
Practice address
30 E Apple St Ste 4256
Dayton, OH 45409-2939
Phone
(937) 208-6060
Fax
(937) 208-6061
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35-056443 A OH Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 4301512884 MI

Addresses

Primary practice location

30 E Apple St Ste 4256
Dayton, OH 45409-2939

Mailing address

P.O. Box 407
Dayton, OH 45409
Phone (937) 208-6060

Other practice location 1

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (888) 683-2778

Other identifiers 1

IdentifierTypeStateIssuer
0689992MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 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
I20040524000062 OH Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 7416948823 Reassigns benefits to 3 organizations
I20241011001124 MI Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 7416948823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
Wright State University Boonshoft School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 E Apple St
Dayton, OH 45409-2939
Phone (937) 208-6060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

Merit-based Incentive Payment System (MIPS)

Final score
94.82 of 100Reported as individual
Quality
82.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-056443 AOHMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital CurrentSince Oct 1, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Nov 1, 2017 Accepting new patients
Miami Valley Heart & Lung Surgeons, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 26, 2004 Accepting new patients
Ohiohealth Corporation CurrentSince Nov 1, 2017 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Oct 1, 2024 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Oct 1, 2024 Accepting new patients
Adena Medical Group LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 19, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Advanced Heart & Lung Surgeons, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince May 7, 2023 Accepting new patients

Locations

363 Fremont St
Ste 311
Battle Creek, MI 49017
Phone (269) 788-6887

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
#42
Kalamazoo, MI 49007
Phone (269) 341-7806

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste M-460
Kalamazoo, MI 49007
Phone (269) 341-7333

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

30 E Apple St
Ste 4256
Dayton, OH 45409
Phone (937) 208-6060

30 E Apple St
Ste 6252
Dayton, OH 45409
Phone (937) 208-6060

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Organizations & group practices 9

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 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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1255331138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 407",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45409",
            "telephone_number": "937-208-6060",
            "fax_number": "937-208-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST STE 4256",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-6060",
            "fax_number": "937-208-6061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Jarrett White Rd",
            "address_purpose": "LOCATION",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "888-683-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSTADT",
        "first_name": "MARK",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35-056443 A",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301512884",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0689992",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.