NPIMap

Individual provider Active NPI

Mark L Stabile Jr., D.O.

  • Family Medicine Physician
  • Andover, OH
National Provider Identifier
1578698494
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34008591 Issued in OH
Practice address
149 E Main St
Box 1117
Andover, OH 44003-9468
Phone
(440) 293-5555
Fax
(440) 293-6643
NPI assigned
Feb 22, 2007
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS012755 PA
Family Medicine Physician 207Q00000X 34008591 OH Primary

Addresses

Primary practice location

149 E Main St
Box 1117
Andover, OH 44003-9468

Mailing address

149 E Main St
Box 1117
Andover, OH 44003-9468
Phone (440) 293-5555

Other identifiers 5

IdentifierTypeStateIssuer
2641314MedicaidOH
1760675OtherPAHIGHMARK BCBS-OH LOCATION
341757611029OtherOHCARESOURCE
1759651OtherPAHIGHMARK BCBS- PA LOCATIO
410793OtherPAUPMC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mstabile19441@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050812000098 PA Practitioner - Family Practice 2769411438 Reassigns benefits to 2 organizations
I20050816000779 OH Practitioner - Family Practice 2769411438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

875 N Hermitage Rd
Hermitage, PA 16148-3278

90 Shenango St
Greenville, PA 16125-2060
Phone (724) 720-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34008591OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Family Medicine CurrentSince Sep 24, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 24, 2017 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Upmc Community Medicine Inc Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Andover Village Retirement Community, LTD Past Accepting new patients
Upmc Community Medicine Inc Family Medicine Past Accepting new patients

Locations

110 N Main St
Greenville, PA 16125
Phone (724) 588-2100

90 Shenango St
Greenville, PA 16125
Phone (724) 588-4240

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

2 Hot Metal St
Ste 1
Pittsburgh, PA 15203

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Interoperability endpoints

  • Direct secure messaging: mstabile19441@upmc.direct-ci.com

Organizations & group practices 9

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 10

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1578698494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 E MAIN ST",
            "address_2": "BOX 1117",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039468",
            "telephone_number": "440-293-5555",
            "fax_number": "440-293-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E MAIN ST",
            "address_2": "BOX 1117",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039468",
            "telephone_number": "440-293-5555",
            "fax_number": "440-293-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABILE",
        "first_name": "MARK",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012755",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34008591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2641314",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS-OH LOCATION",
            "identifier": "1760675",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341757611029",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS- PA LOCATIO",
            "identifier": "1759651",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "410793",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstabile19441@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Andover, OH

Sources for this page

Verify at the official NPI Registry.