NPIMap

Individual provider Active NPI

Mark J Hass, M.D.

  • Diagnostic Radiology Physician
  • Greenville, NC
National Provider Identifier
1588603393
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
201501777 Issued in NC
Practice address
990 Johns Hopkins Dr
Greenville, NC 27834-7224
Phone
(252) 565-8951
NPI assigned
Jun 6, 2006
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 67766 WI
Diagnostic Radiology Physician 2085R0202X 4301076959 MI
Diagnostic Radiology Physician 2085R0202X 0101260818 VA
Diagnostic Radiology Physician 2085R0202X 201501777 NC Primary

Addresses

Primary practice location

990 Johns Hopkins Dr
Greenville, NC 27834-7224

Mailing address

990 Johns Hopkins Dr
Greenville, NC 27834-7224
Phone (252) 565-8951

Other identifiers 1

IdentifierTypeStateIssuer
1588603393MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NC2 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
I20170901002865 WI Practitioner - Diagnostic Radiology 8123078524 Reassigns benefits to 1 organization
I20190619003192 NC Practitioner - Diagnostic Radiology 8123078524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Breast Imaging Specialists PLLCGroup PAC ID 9234363987, 4 clinicians

Practice addresses (Care Compare)

990 Johns Hopkins Dr
Greenville, NC 27834-7224
Phone (252) 565-8951

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67766WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc CurrentSince Sep 10, 2017 Accepting new patients
Carolina Breast Imaging Specialists PLLC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Oakwood Healthcare Inc Past Accepting new patients
DRS Harris Birkhill Wang Songe & Assoc PC Diagnostic Radiology PastSince Jan 1, 2007 Accepting new patients
Thirlby Clinic PLC Diagnostic Radiology PastSince Oct 2, 1995 Accepting new patients

Locations

990 Johns Hopkins Dr
Greenville, NC 27834
Phone (252) 565-8670

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEFHAA

Organizations & group practices 5

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 5

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1588603393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 JOHNS HOPKINS DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347224",
            "telephone_number": "252-565-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 JOHNS HOPKINS DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347224",
            "telephone_number": "252-565-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASS",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "67766",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301076959",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101260818",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "201501777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588603393",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.