NPIMap

Individual provider Active NPI

Mark A. Ledoux, MD

  • Pain Medicine (Anesthesiology) Physician
  • Addison, TX
National Provider Identifier
1356552509
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
M8781 Issued in TX
Practice address
17051 Dallas Pkwy Ste 300
Addison, TX 75001-7105
Phone
(214) 888-3900
Fax
(214) 888-3901
NPI assigned
May 26, 2007
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M8781 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X M8781 TX Primary

Addresses

Primary practice location

17051 Dallas Pkwy Ste 300
Addison, TX 75001-7105

Mailing address

17051 Dallas Pkwy Ste 300
Addison, TX 75001-7105
Phone (214) 888-3900

Other identifiers 1

IdentifierTypeStateIssuer
M8781OtherTXTMB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000410 TX Practitioner - AnesthesiologyPractitioner - Pain Management 1052465390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Texas Medical School at San Antonio, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

17051 Dallas Pkwy
Suite 300
Addison, TX 75001-7105
Phone (214) 888-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.57 of 100Reported as individual
Quality
92.89
Promoting interoperability
100
Improvement activities
40
Cost
69.02

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Spine and Pain, LLP Pain Medicine Current Accepting new patients
Mark Ledoux, MD PA Pain Medicine Current Accepting new patients

Locations

17051 Dallas Pkwy
Ste 300
Addison, TX 75001
Phone (214) 888-3888

12221 Merit Dr
Ste 620
Dallas, TX 75251
Phone (214) 506-2610

8222 Douglas Ave
Ste 890
Dallas, TX 75225
Phone (214) 888-3883

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1504/brand/5/csg/87/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/16920/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.ledoux.1@16920.direct.athenahealth.com

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 6

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": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1356552509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 300",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017105",
            "telephone_number": "214-888-3900",
            "fax_number": "214-888-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 300",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017105",
            "telephone_number": "214-888-3900",
            "fax_number": "214-888-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDOUX",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-26",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M8781",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "M8781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB",
            "identifier": "M8781",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.