Individual provider Active NPI

Mark W Jalkut, MD

  • Urology Physician
  • Raleigh, NC
National Provider Identifier
1326054859
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
200401230 Issued in NC
Practice address
3821 Ed Dr
Raleigh, NC 27612-8038
Phone
(919) 782-1255
Fax
(919) 782-6550
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 200401230 NC Primary

Addresses

Primary practice location

3821 Ed Dr
Raleigh, NC 27612-8038

Mailing address

3821 Ed Dr
Raleigh, NC 27612-8038
Phone (919) 782-1255

Other identifiers 2

IdentifierTypeStateIssuer
1377VOtherNCBCBS OF NC
891377VMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040920000077 NC Practitioner - Urology 7113995002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Stanford University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Urologists of North Carolina PAGroup PAC ID 9537341268, 29 clinicians

Practice addresses (Care Compare)

3821 Ed Dr
Raleigh, NC 27612-8038
Phone (919) 758-8677

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC Urology CurrentSince Aug 1, 2025 Accepting new patients
Alliance Physician Services, PC Urology CurrentSince Aug 1, 2025 Accepting new patients
Alliance Physician Services, PC Urology Past Accepting new patients

Locations

110 Kildaire Park Dr
Ste 500
Cary, NC 27518
Phone (919) 467-3203

95 Springbrook Ave
Ste 109
Clayton, NC 27520
Phone (919) 467-3203

3821 Ed Dr
Raleigh, NC 27612
Phone (919) 758-8677

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Interoperability endpoints

  • Direct secure messaging: mark.jalkutmd.p1@direct.associatedurologists.nextgenshare.com

Organizations & group practices 4

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1326054859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 ED DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128038",
            "telephone_number": "919-782-1255",
            "fax_number": "919-782-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 ED DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128038",
            "telephone_number": "919-782-1255",
            "fax_number": "919-782-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALKUT",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "200401230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1377V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891377V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.