Mark Allen Birdsong, M.D.
Individual provider
Active NPI
Surgery Physician · Owasso, OK
NPI 1295857167 · NPPES record last updated Jun 24, 2014
Key facts
- NPI
- 1295857167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 26563 (OK)
- Practice address
- 10512 N 110TH East Ave
Suite 240
Owasso, OK 74055-6636
- Phone
- (918) 212-1200
- Fax
- (918) 212-1201
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
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 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Oklahoma College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ahs Oklahoma Physician Group LLC (314 clinicians)
Practice addresses (Care Compare)
10512 N 110TH E Ave
Suite 300
Owasso, OK 74055-6638
Phone (918) 376-8900
Hospital & facility affiliations
- Bailey Medical Center, LLC Hospital · Owasso, OK · CCN 370228
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|
| Colonoscopy | 18 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 11 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 12 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20081001000118 |
OK |
Practitioner - General Surgery |
6002984200 |
Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|
| 94-05976 | KS | MD | Surgery Physician |
Practice roles
Interoperability endpoints
- FHIR API: https://epicproxy.ardenthealth.com/fhir/BMC/api/FHIR/R4
- Direct secure messaging: mbirdsong118772@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Surgery Physician |
208600000X |
94-05976 |
KS |
|
| Surgery Physician |
208600000X |
26563 |
OK |
Yes |
Addresses
Primary practice location
10512 N 110TH East Ave
Suite 240
Owasso, OK 74055-6636
Mailing address
10512 N 110TH East Ave
Suite 240
Owasso, OK 74055-6636
Phone (918) 212-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 200203050A | Medicaid | OK | |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2014. 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.
Verify at the official NPI Registry.