Individual provider Active NPI

Mark M Karas, MD

  • Family Medicine Physician
  • St Augustine, FL
National Provider Identifier
1265471742
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD019473E Issued in PA
Practice address
195 Southpark Blvd
VA St Augustine Cboc
St Augustine, FL 32086-5134
Phone
(904) 823-2961
Fax
(904) 824-1165
NPI assigned
Jun 6, 2006
Last updated
Oct 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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 MD019473E PA Primary

Addresses

Primary practice location

195 Southpark Blvd
VA St Augustine Cboc
St Augustine, FL 32086-5134

Mailing address

195 Southpark Blvd
VA St Augustine Cboc
St Augustine, FL 32086-5134
Phone (904) 823-2961

Other identifiers 2

IdentifierTypeStateIssuer
0009340710001MedicaidPA
058981OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250205003331 FL Practitioner - Family Practice 4284537481

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc St. Margaret Past Accepting new patients

Organizations & group practices 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1265471742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 SOUTHPARK BLVD",
            "address_2": "VA ST AUGUSTINE CBOC",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865134",
            "telephone_number": "904-823-2961",
            "fax_number": "904-824-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 SOUTHPARK BLVD",
            "address_2": "VA ST AUGUSTINE CBOC",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865134",
            "telephone_number": "904-823-2961",
            "fax_number": "904-824-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAS",
        "first_name": "MARK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD019473E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009340710001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "058981",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.