Active NPI
Mario J. Cardoso, M.D., D.C.
- Neurological Surgery Physician
- Portsmouth, VA
National Provider Identifier
1619015104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 0101267689
- Practice address
- 620 John Paul Jones Cir
Portsmouth, VA 23708-2111 - Phone
- (757) 953-9400
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 01060054A | IN | |
| Neurological Surgery Physician | 207T00000X | 0101267689 | VA | Primary |
Addresses
Primary practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Mailing address
856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800
Other practice location 1
12200 Warwick Blvd Ste 410
Newport News, VA 23601
Phone (757) 534-5200
Other practice location 2
6900 Georgia Ave NW
Dept of Neurosurgery
Washington, DC 20307-0003
Phone (202) 782-9804
Other practice location 3
11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673
Phone (260) 425-6780
Other practice location 4
6900 Georgia Ave NW
Dept of Neurosurgery
Washington, DC 20307-0003
Phone (202) 782-9804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Albany Medical College of Union University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 S Cliff Ave
Suite 610
Sioux Falls, SD 57105-1032
Phone (605) 322-8860
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
- Spencer Municipal Hospital
- Avera St Mary'S Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 54 |
| Laminectomy or laminotomy (partial removal of spine bones) | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01060054A | IN | MD | Neurological Surgery Physician |
| 0101267689 | VA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Neurological Surgery | Current | Accepting new patients |
| Avera Granite Falls | Past | Accepting new patients |
Locations
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
1301 S Cliff Ave
Ste 610
Sioux Falls, SD 57105
Phone (605) 322-8860
Interoperability endpoints
- mario.cardoso@avera.sdhealthlink.net
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Neurological Surgery Physician
- Sioux Falls, SD
- NPI 1114113693
-
- Critical Access Hospital
- Granite Falls, MN
- NPI 1700429610
Hospital & facility affiliations 29
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1619015104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD STE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-316-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "757-953-9400"
}
],
"practiceLocations": [
{
"address_1": "12200 Warwick Blvd Ste 410",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "23601",
"country_code": "US",
"telephone_number": "757-534-5200",
"fax_number": "757-534-5830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6900 Georgia Ave NW",
"address_2": "Dept of Neurosurgery",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "203070003",
"country_code": "US",
"telephone_number": "202-782-9804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11104 Parkview Circle Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451673",
"country_code": "US",
"telephone_number": "260-425-6780",
"fax_number": "260-425-6615",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6900 Georgia Ave NW",
"address_2": "Dept of Neurosurgery",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "203070003",
"country_code": "US",
"telephone_number": "202-782-9804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDOSO",
"first_name": "MARIO",
"middle_name": "J.",
"credential": "M.D., D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IN",
"license": "01060054A",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "VA",
"license": "0101267689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.