Mark Charles Nahmias, DPM
Individual provider Active NPI Podiatrist · Tulsa, OK
NPI 1285716142 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285716142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 166 (OK)
- Practice address
- 5906 E 31St St
Suite 1
Tulsa, OK 74135-5110 - Phone
- (918) 749-9996
- Fax
- (918) 622-9998
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kauai Veterans Memorial Hospital
Samuel Mahelona Memorial Hospital
Practice addresses (Care Compare)
4643 Waimea Canyon Dr
Waimea, HI 96798
Phone (808) 338-9431
4800 Kawaihau Rd
Kapaa, HI 96746-1971
Phone (808) 822-4961
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040209000597 | OK | Practitioner - Podiatry | 6305730763 | |
| I20240410000726 | HI | Practitioner - Podiatry | 6305730763 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kauai Veterans Memorial Hospital | Current |
Accepting new patients | |
| Kauai Veterans Memorial Hospital | Current | Accepting new patients | |
| Samuel Mahelona Memorial Hospital | Current |
Accepting new patients | |
| Samuel Mahelona Memorial Hospital | Current | Accepting new patients | |
| Samuel Mahelona Memorial Hospital | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 166 | OK | Yes |
Addresses
Primary practice location
5906 E 31St St
Suite 1
Tulsa, OK 74135-5110
Mailing address
5906 E 31St St
Suite 1
Tulsa, OK 74135-5110
Phone (918) 749-9996
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.