Individual provider Active NPI

Mark A Peterman, MD

  • Interventional Cardiology Physician
  • Plano, TX
National Provider Identifier
1386752939
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
L3431 Issued in TX
Practice address
6124 W Parker Rd
Suite 536
Plano, TX 75093-8122
Phone
(972) 378-9560
Fax
(844) 290-4363
NPI assigned
Aug 25, 2006
Last updated
May 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L3431 TX
Interventional Cardiology Physician 207RI0011X L3431 TX Primary
Nuclear Cardiology Physician 207UN0901X L3431 TX

Addresses

Primary practice location

6124 W Parker Rd
Suite 536
Plano, TX 75093-8122

Mailing address

16980 Dallas Pkwy
Suite 200
Dallas, TX 75248-1908
Phone (972) 378-9560

Other identifiers 1

IdentifierTypeStateIssuer
186343301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070119000237 TX Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 7618978511 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartplace PLLCGroup PAC ID 2769386473, shared by 4 NPIs, 90 clinicians
Cardiac Cath Lab of Collin County, LPGroup PAC ID 2961780382, 7 clinicians

Practice addresses (Care Compare)

3801 W 15TH St
Suite 320
Plano, TX 75075-7767
Phone (972) 985-8838

5085 W Park Blvd
Suite 180a
Plano, TX 75093-2593
Phone (469) 609-8280

6124 W Parker Rd
Suite 536
Plano, TX 75093-8137
Phone (972) 378-9560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.53 of 100Reported as individual
Quality
90.09
Promoting interoperability
100
Improvement activities
40
Cost
74.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting42
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3431TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartplace, PLLC CurrentSince Aug 1, 2007 Accepting new patients
Cardiac Cath Lab of Collin County, LP CurrentSince Dec 1, 2016 Accepting new patients
Heartplace, PLLC Cardiovascular Disease Current Accepting new patients
Cardiac Cath Lab of Dallas, LP CurrentSince Apr 1, 2022 Accepting new patients
Heartplace, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Heartplace, PLLC Cardiovascular Disease Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

11970 N Central Expy
Ste 610
Dallas, TX 75243
Phone (469) 232-9393

16980 Dallas Pkwy
Ste 200
Dallas, TX 75248
Phone (214) 343-8565

3801 W 15th St
Ste 320
Plano, TX 75075
Phone (972) 596-3201

6124 W Parker Rd
Ste 536
Plano, TX 75093
Phone (972) 378-9560

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4
  • Direct secure messaging: mark.peterman.1@14273.direct.athenahealth.com
  • Direct secure messaging: mark.peterman@ushv.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Texas Health Heart & Vascular HospitalArlington, TX, CCN 670071 Hospital Other (0.11%) May 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 1

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1386752939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16980 DALLAS PKWY",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481908",
            "telephone_number": "972-378-9560",
            "fax_number": "844-290-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD",
            "address_2": "SUITE 536",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938122",
            "telephone_number": "972-378-9560",
            "fax_number": "844-290-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L3431",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "L3431",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "L3431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186343301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.