Individual provider Active NPI

Mark Sbarro, DO

  • Emergency Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1629028196
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS8663 Issued in FL
Practice address
2 Hot Metal St
Ermi Quantum One
Pittsburgh, PA 15203-2348
Phone
(412) 432-7424
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS008280L PA
Emergency Medicine Physician 207P00000X OS8663 FL Primary

Addresses

Primary practice location

2 Hot Metal St
Ermi Quantum One
Pittsburgh, PA 15203-2348

Mailing address

2 Hot Metal St
Ermi Quantum One
Pittsburgh, PA 15203-2348
Phone (412) 432-7424

Other identifiers 2

IdentifierTypeStateIssuer
267450500MedicaidFL
001532196MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20040513000858 FL Practitioner - Emergency Medicine 7517957426 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS8663FLMDEmergency Medicine Physician
OS008280LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Santos Primary Care Medical Clinics, PLLC CurrentSince Aug 12, 2018 Accepting new patients
Jer Medical Associates Past Accepting new patients
Baker Community Health Center Inc Emergency Medicine Past Accepting new patients
New Castle Infectious Diseases LLC Past Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

17820 SE 109th Ave
Ste 108
Summerfield, FL 34491
Phone (352) 448-6469

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

8491 SE 165th Mulberry Ln
The Villages, FL 32162
Phone (352) 304-6480

910 Old Camp Rd
Ste 182
The Villages, FL 32162
Phone (352) 448-6469

Interoperability endpoints

  • Direct secure messaging: mark.sbarro.1@18060.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1629028196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "ERMI QUANTUM ONE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "ERMI QUANTUM ONE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SBARRO",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS008280L",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS8663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267450500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001532196",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.