Individual provider Active NPI

Mark J. Marshall, D.O.

  • Internal Medicine Physician
  • Sharon, CT
National Provider Identifier
1326197963
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
000529 Issued in CT
Practice address
50 Hospital Hill Rd
Sharon Hospital
Sharon, CT 06069-2096
Phone
(860) 364-4201
Fax
(860) 364-4211
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 000529 CT Primary
Internal Medicine Physician 207R00000X 203678 NY

Addresses

Primary practice location

50 Hospital Hill Rd
Sharon Hospital
Sharon, CT 06069-2096

Mailing address

50 Hospital Hill Rd
Sharon Hospital
Sharon, CT 06069-2096
Phone (860) 364-4201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150720002531 CT Practitioner - Internal Medicine 3577645126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 Hospital Hill Rd
Sharon, CT 06069-2096
Phone (860) 364-4532

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
529CTMDBehavioral Analyst
203678NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Internal Medicine CurrentSince Mar 16, 2020 Accepting new patients
Hoosier Emergency Physicians LLC Past Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326197963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL HILL RD",
            "address_2": "SHARON HOSPITAL",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692096",
            "telephone_number": "860-364-4201",
            "fax_number": "860-364-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL HILL RD",
            "address_2": "SHARON HOSPITAL",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692096",
            "telephone_number": "860-364-4201",
            "fax_number": "860-364-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "000529",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, CT

Sources for this page

Verify at the official NPI Registry.