Mark R Jennings, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35085981 Issued in OH

Practice address

3300 Mercy Health Blvd Ste 2010
Cincinnati, OH 45211-1103

Phone

(513) 961-4335

Fax

(513) 872-5769

NPI assigned

Feb 21, 2006

Last updated

Sep 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

General Surgery

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Physicians Cincinnati Specialty Care LLCGroup PAC ID 3971907759, 343 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mjennings10397@direct.bsmhealth.org

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.

• Mercy Health Physicians Cincinnati Specialty Care LLC

  • Surgery Physician
  • Blue Ash, OH
  • NPI 1154942795
  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians Cincinnati LLC

  dba Mercy Health - Orthopaedics and Spine, Liberty Falls

  • Durable Medical Equipment & Medical Supplies
  • Liberty Township, OH
  • NPI 1790281517
  NPD
• Mercy Health Physicians Cincinnati Specialty Care LLC

  dba Mercy Health- Kyles Station Orthopedic and Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Liberty TWP, OH
  • NPI 1730993270
  NPD
• Mercy Health Physicians Cincinnati, LLC

  • Family Medicine Physician
  • Blue Ash, OH
  • NPI 1205887023

  Surgery

  NPD
• Mercy Health - West Hospital LLC

  dba Mercy Health - West Hospital

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1912007931
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health - West Hospital LLC

  dba Mercy Health - West Hospital

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1912007931
  Care Compare affiliation
• Mercy Health - West Hospital LLC

  dba Mercy Health - West Hospital

  • Clinical Medical Laboratory
  • Cincinnati, OH
  • NPI 1982728036

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1578538955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 MERCY HEALTH BLVD STE 2010",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111103",
            "telephone_number": "513-961-4335",
            "fax_number": "513-872-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MERCY HEALTH BLVD STE 2010",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111103",
            "telephone_number": "513-961-4335",
            "fax_number": "513-872-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35085981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2580407",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200515190A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64103476",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100056850",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00274332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drew Jennings
• Erin Leigh Jennings, MED
• Jennifer Jennings, CDCA
• Jevontae Jennings
• Latonya Jennings, MSN, RN
• Meranda Jennings
• Michael Robert Jennings, MD
• Monique L Jennings, RN
• Roxanne Jennings
• Tara Jennings

• Surgery Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.

Verify at the official NPI Registry.