Active NPI
Mark J Pidala, M.D.
- Colon & Rectal Surgery Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- K6239
- Practice address
- 800 Peakwood Dr
Suite 2C
Houston, TX 77090 - Phone
- (713) 486-4650
- Fax
- (281) 440-0759
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | K6239 | TX | Primary |
Addresses
Primary practice location
800 Peakwood Dr
Suite 2C
Houston, TX 77090
Mailing address
6550 Fannin St
Suite 2307
Houston, TX 77030-2717
Phone (713) 486-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037009002 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- University of Cincinnati College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 133 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K6239 | TX | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients |
Locations
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
6550 Fannin St
Ste 2307
Houston, TX 77030
Phone (713) 790-9250
800 Peakwood Dr
Ste 2C
Houston, TX 77090
Phone (713) 440-7495
9200 Pinecroft Dr
Ste 320
Shenandoah, TX 77380
Phone (281) 367-7288
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200
Interoperability endpoints
- mpidala26203@directhoustonmethodist.org
- mpidala13573@direct.uth.org
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
- Health Educator
- Houston, TX
- NPI 1316534472
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1417960550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 2307",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "713-486-4600",
"fax_number": "713-790-9251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PEAKWOOD DR",
"address_2": "SUITE 2C",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77090",
"telephone_number": "713-486-4650",
"fax_number": "281-440-0759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIDALA",
"first_name": "MARK",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "TX",
"license": "K6239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037009002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.