Individual provider Active NPI

Mark D Harris, M.D.

  • Rheumatology Physician
  • Wilmington, NC
National Provider Identifier
1437157872
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
200100549 Issued in NC
Practice address
1710 S. 17TH St.
Wilmington, NC 28401-6442
Phone
(910) 762-1182
Fax
(910) 202-2020
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 200100549 NC Primary

Addresses

Primary practice location

1710 S. 17TH St.
Wilmington, NC 28401-6442

Mailing address

1710 S. 17TH St.
Wilmington, NC 28401-6442
Phone (910) 762-1182

Other identifiers 2

IdentifierTypeStateIssuer
89129JMMedicaidNC
89138COMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040511001348 NC Practitioner - Rheumatology 0547259848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Tufts University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Arthritis Associates PAGroup PAC ID 2860481777, 5 clinicians

Practice addresses (Care Compare)

1710 S 17TH St
Wilmington, NC 28401-6442
Phone (910) 762-1182

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
41.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Arthritis Associates, P.a. Rheumatology CurrentSince Mar 1, 2004 Accepting new patients
Health Sciences Foundation Inc. Past Accepting new patients
Delaney Radiologists Group PLLC PastSince Mar 1, 2004 Accepting new patients

Locations

1710 S 17th St
Wilmington, NC 28401
Phone (910) 762-1182

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mark.harris.p1@direct.caa.nextgenshare.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 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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1437157872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 S. 17TH ST.",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016442",
            "telephone_number": "910-762-1182",
            "fax_number": "910-202-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S. 17TH ST.",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016442",
            "telephone_number": "910-762-1182",
            "fax_number": "910-202-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "200100549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129JM",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138CO",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.