Individual provider Active NPI

Mark Anthony Stankewicz, MD

  • Cardiovascular Disease Physician
  • Nashville, TN
National Provider Identifier
1255368767
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD34754 Issued in TN
Practice address
4230 Harding Pike
Suite 330
Nashville, TN 37205-2013
Phone
(615) 269-4545
Fax
(615) 565-6789
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD34754 TN Primary

Addresses

Primary practice location

4230 Harding Pike
Suite 330
Nashville, TN 37205-2013

Mailing address

4230 Harding Pike
Suite 330
Nashville, TN 37205-2013
Phone (615) 269-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 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
I20070621000068 KY Practitioner - Cardiovascular Disease (Cardiology) 4688626807
I20140725000786 TN Practitioner - Cardiovascular Disease (Cardiology) 4688626807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Connecticut School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

100 Physicians Way
Suite 330
Lebanon, TN 37090-8103
Phone (615) 449-6222

1559 Sparta St
McMinnville, TN 37110-1316
Phone (931) 815-4000

1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4685

2121 N Locust Ave
Suite 6
Lawrenceburg, TN 38464-4454
Phone (615) 269-4545

300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400

4220 Harding Pike
Nashville, TN 37205-2005
Phone (615) 222-6977

4230 Harding Pike
Nashville, TN 37205-2018

4230 Harding Pike
Suite 535
Nashville, TN 37205-2013
Phone (615) 222-1251

647 Dunlop LN
Suite 116
Clarksville, TN 37040-5165
Phone (931) 648-0064

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP787KYMDFamily Medicine Physician
MD34754TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas West Hospital Past Accepting new patients
Heart Group PLLC Cardiovascular Disease Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mark.stankewicz.1@7654.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1255368767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE",
            "address_2": "SUITE 330",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052013",
            "telephone_number": "615-269-4545",
            "fax_number": "615-565-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE",
            "address_2": "SUITE 330",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052013",
            "telephone_number": "615-269-4545",
            "fax_number": "615-565-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKEWICZ",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD34754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.