Individual provider Active NPI

Mark Loren Denzine, DO

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Cleveland, OH
National Provider Identifier
1487670634
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
H84961 Issued in MD
Practice address
9500 Euclid Ave # A41
Cleveland, OH 44195
Phone
(216) 444-3927
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0114X H84961 MD Primary
Orthopaedic Surgery Physician 207X00000X 34.012790 OH
Orthopaedic Surgery Physician 207X00000X OT014667 PA

Addresses

Primary practice location

9500 Euclid Ave # A41
Cleveland, OH 44195

Mailing address

2000 Medical Pkwy Ste 101
Annapolis, MD 21401-3743
Phone (410) 268-8862

Other practice location 1

9500 Euclid Ave # A41
Cleveland, OH 44195-1626
Phone (216) 444-3927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180906000097 MD Practitioner - Orthopedic Surgery 3173579992 Reassigns benefits to 2 organizations
I20180906000177 DC Practitioner - Orthopedic Surgery 3173579992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3743
Phone (410) 268-8862

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Salisbury, MD, CCN 217111
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement58
Knee replacement111
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

State licenses

LicenseStateTypeSpecialty
34.012790OHMDOrthopaedic Surgery Physician
OT014667PAMDOrthopaedic Surgery Physician
H84961MDMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Single Specialty Current Accepting new patients
Luminis Health Medical Group, LLC Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
Luminis Health Medical Group, LLC Single Specialty Current Accepting new patients
Luminis Health Medical Group, LLC Single Specialty CurrentSince Apr 23, 2020 Accepting new patients
Orthopedic Physicians of Annapolis,LLC Orthopaedic Surgery CurrentSince Sep 1, 2018 Accepting new patients
Luminis Health Medical Group, LLC Single Specialty Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 23, 2020 Accepting new patients

Locations

201 Defense Hwy
Ste 150
Annapolis, MD 21401

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2000 Medical Pkwy
Ste 101
Annapolis, MD 21401
Phone (410) 295-8900

201 Defense Hwy
Ste 100
Annapolis, MD 21401
Phone (443) 481-6549

15500 Annapolis Rd
Ste 102
Bowie, MD 20715
Phone (301) 805-0190

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

1630 Main St
Ste 101
Chester, MD 21619
Phone (410) 604-6560

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

8638 Veterans Hwy
Millersville, MD 21108
Phone (410) 729-4508

1106 Annapolis Rd
Ste 130
Odenton, MD 21113
Phone (410) 295-8900

Interoperability endpoints

  • Direct secure messaging: mdenzine60109@direct.aahs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487670634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013743",
            "telephone_number": "410-268-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # A41",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-444-3927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave # A41",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441951626",
            "country_code": "US",
            "telephone_number": "216-444-3927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENZINE",
        "first_name": "MARK",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MD",
            "license": "H84961",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "34.012790",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OT014667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.