Individual provider Active NPI

Mark Joseph Siegel, M.D.

  • Dermatology Physician
  • Charleston, SC
National Provider Identifier
1437536463
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
38050 Issued in SC
Practice address
169 Ashley Ave
Room 202 Main Hospital Musc333
Charleston, SC 29425
Phone
(843) 792-3876
Fax
(843) 876-1435
NPI assigned
Apr 28, 2015
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 38050 SC Primary

Addresses

Primary practice location

169 Ashley Ave
Room 202 Main Hospital Musc333
Charleston, SC 29425

Mailing address

570 Long Point Rd Ste 200
Mt Pleasant, SC 29464-7940
Phone (843) 881-0320

Other practice location 1

570 Long Point Rd Ste 200
MT Pleasant, SC 29464-7940
Phone (843) 881-0320 ext. 230

Other identifiers 2

IdentifierTypeStateIssuer
38050OtherSCMEDICAL LICENSE
380509MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20181031003108 SC Practitioner - DermatologyPractitioner - Pediatric Medicine 6709196546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pediatric Medicine
Education
Univ of Central Florida, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt Pleasant DermatologyGroup PAC ID 6204721285, 7 clinicians

Practice addresses (Care Compare)

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

570 Long Point Rd
Suite 200
Mount Pleasant, SC 29464-7940
Phone 8438810320230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision102
Removal of skin lesions641
Removal or shaving of skin growth49
Skin biopsy232

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Mt Pleasant Dermatology Dermatology CurrentSince Aug 1, 2023 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Dec 1, 2022 Accepting new patients
University Medical Associates CurrentSince Dec 1, 2022 Accepting new patients

Locations

169 Ashley Ave
Rm 202
Charleston, SC 29425
Phone (843) 792-0192

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

570 Long Point Rd
Ste 200
Mt Pleasant, SC 29464
Phone (843) 881-0320

Interoperability endpoints

  • Direct secure messaging: msiegel184341@direct.musc.edu
  • Direct secure messaging: msiegel20877@directmcleodehealth.org

Organizations & group practices 4

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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1437536463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 LONG POINT RD STE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647940",
            "telephone_number": "843-881-0320",
            "fax_number": "843-881-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE",
            "address_2": "ROOM 202 MAIN HOSPITAL MUSC333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "843-792-3876",
            "fax_number": "843-876-1435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "570 Long Point Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294647940",
            "country_code": "US",
            "telephone_number": "843-881-0320 x230",
            "fax_number": "843-881-5453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "38050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "38050",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380509",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.