Mark A Bisesi, MD
Individual provider Active NPI Diagnostic Radiology Physician · Bloomington, IN
NPI 1346208253 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1346208253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 01041925A (IN)
- Practice address
- 429 S Landmark Ave
Bloomington, IN 47403-5003 - Phone
- (812) 332-8242
- Fax
- (812) 333-7684
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Indiana University Radiology Associates Inc
Iu Health Medical Group LLC
Practice addresses (Care Compare)
1000 S Main St
Tipton, IN 46072-9753
Phone (765) 675-8538
10212 Lantern Rd
Fishers, IN 46037-9705
Phone (317) 841-5656
1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 963-0166
11725 N Illinois St
Suite 275
Carmel, IN 46032-4656
Phone (317) 817-1114
1302 S Rogers St
Bloomington, IN 47403-4752
Phone (812) 353-2108
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2209 John R Wooden Dr
Morgan Hospital
Martinsville, IN 46151-1840
Phone (765) 349-6513
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-4274
2598 W White River Blvd
The Imaging Center
Muncie, IN 47303-5251
Phone (765) 282-7595
2605 E Creeks Edge Dr
Bloomington, IN 47401-8368
Phone (812) 333-1933
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9356
2900 16TH St
Bedford, IN 47421-3510
Phone (812) 275-1367
416 E Maumee St
Angola, IN 46703-2015
Phone (260) 667-5548
500 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 333-7676
500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-1821
550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 353-2108
560 W Longest St
Paoli, IN 47454-9670
Phone (812) 723-7437
642 W Hospital Rd
Iu Health Paoli Hospital
Paoli, IN 47454-9672
Phone (812) 723-2811
Hospital & facility affiliations
- Indiana University Health Bloomington Hospital
- Indiana University Health Ball Memorial Hospital
- Indiana University Health
- Iu Health West Hospital
- Indiana University Health North Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.32 of 100
- Quality
- 91.68
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.84 of 100
- Quality
- 91.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.67
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in IN, TX, IL, MN
- 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 |
|---|---|---|---|---|
| I20040327000074 | IN | Practitioner - Diagnostic Radiology | 6800788522 | Reassigns benefits to 5 organizations |
| I20230620002227 | TX | Practitioner - Diagnostic Radiology | 6800788522 | Reassigns benefits to 3 organizations |
| I20230718001198 | IL | Practitioner - Diagnostic Radiology | 6800788522 | |
| I20231018003542 | MN | Practitioner - Diagnostic Radiology | 6800788522 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Radiology LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Ton San Xavier Health Center | Current |
Accepting new patients | |
| Southern Indiana Radiological Associates Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Sira Imaging Center LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Ton San Simon Health Center | Current |
Accepting new patients | |
| Ton Sells Hospital | Current |
Accepting new patients | |
| Ton San Xavier Health Center | Past | Accepting new patients | |
| Ton Sells Hospital | Past | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000
7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550
5924 Reliable Pkwy
Chicago, IL 60686
500 S Landmark Ave
Bloomington, IN 47403
Phone (812) 333-7676
660 S College Ave
Bloomington, IN 47403
Phone (812) 332-5090
429 S Landmark Ave
Bloomington, IN 47403
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Interoperability endpoints
- mbisesi83918@direct.eskenazihealth.edu
- mbisesi1@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01041925A | IN | Yes |
Addresses
Primary practice location
429 S Landmark Ave
Bloomington, IN 47403-5003
Mailing address
250 N Shadeland Ave Ste 200
Indianapolis, IN 46219-4959
Other practice location 1
11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300072212 | Other | IN | RR MEDICARE |
| P00096530 | Other | IN | RR MEDICARE |
| 200051060 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbisesi1@direct.iuhealth.org |
Other providers in Bloomington, IN
- Eman Biltaji
- Rihona N Bing-English
- Elizabeth Ross Birch
- Thomas Brian Birchmeier
- Brooke Bischoff
- Cyrilla Anne Bishop
- Gary Dennis Bishop
- Michael D Bishop
- Sara Bisson
- Brianne Bitner
All providers in Bloomington, IN · Diagnostic Radiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. 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.