Individual provider Active NPI

Anthony Leary Mark, M.D.

  • Surgery Physician
  • Washington, DC
National Provider Identifier
1629128947
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101244571 Issued in VA
Practice address
6900 Georgia Ave
Washington, DC 20703
Phone
(202) 782-6542
NPI assigned
Jan 11, 2007
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 390200000X DC
Surgery Physician 208600000X 0101244571 VA Primary

Addresses

Primary practice location

6900 Georgia Ave
Washington, DC 20703

Mailing address

10 Sheffield Manor CT
Apt 203
Silver Spring, MD 20904-7708
Phone (202) 782-6542

Other practice location 1

190 Campus Blvd Ste 310
Winchester, VA 22601-2872
Phone (540) 536-0130

Other practice location 2

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other practice location 3

500 Sentara Cir Ste 202
Williamsburg, VA 23188-5727
Phone (757) 984-9850

Other names 1

  • Dr. Anthony L Mark Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amark585019@soc.inova.org
Direct Messaging Address amark585019@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181120000113 DC Practitioner - General Surgery 8325360829 Reassigns benefits to 1 organization
I20190510001178 VA Practitioner - General Surgery 8325360829 Reassigns benefits to 6 organizations
I20240320002676 WV Practitioner - General Surgery 8325360829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Virginia Commonwealth University, School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2000 Foundation Way
Suite 2200
Martinsburg, WV 25401-9030
Phone (304) 264-1340

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101244571VAMDSurgery Physician
390200000XDCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Jan 1, 2023 Accepting new patients
RMH Medical Group LLC CurrentSince Jan 29, 2022 Accepting new patients
West Virginia University Medical Corporation CurrentSince Apr 22, 2024 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Aug 30, 2021 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Sentara Medical Group CurrentSince Aug 1, 2024 Accepting new patients
West Virginia University Medical Corporation Surgery CurrentSince Apr 22, 2024 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Valley Physician Enterprise, Inc Surgery CurrentSince Jan 1, 2023 Accepting new patients
Inova Health Care Services CurrentSince Sep 4, 2018 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Surgery CurrentSince Aug 30, 2021 Accepting new patients
RMH Medical Group LLC CurrentSince Jan 29, 2022 Accepting new patients
Winchester Medical Center Current Accepting new patients
Inova Health Care Services CurrentSince Sep 4, 2018 Accepting new patients
Winchester Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Winchester Medical Center Current Accepting new patients
Inova Health Care Services CurrentSince Sep 4, 2018 Accepting new patients
Inova Health Care Services Current Accepting new patients
City Hospital, Inc Past Accepting new patients

Locations

3620 Joseph Siewick Dr
Ste 200
Fairfax, VA 22033
Phone (703) 525-3069

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2006 Health Campus Dr
Ste 200
Rockingham, VA 22801
Phone (540) 689-5555

500 Sentara Cir
Ste 202
Williamsburg, VA 23188
Phone (757) 984-9850

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

190 Campus Blvd
Ste 310
Winchester, VA 22601
Phone (540) 536-0130

2000 Foundation Way
Ste 2200
Martinsburg, WV 25401
Phone (304) 264-1340

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

203 E 4th Ave
Ranson, WV 25438
Phone (304) 535-6343

Interoperability endpoints

  • Direct secure messaging: amark585019@soc.inova.org

Organizations & group practices 19

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.

View all 19

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1629128947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHEFFIELD MANOR CT",
            "address_2": "APT 203",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047708",
            "telephone_number": "202-782-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 GEORGIA AVE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20703",
            "telephone_number": "202-782-6542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Campus Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012872",
            "country_code": "US",
            "telephone_number": "540-536-0130",
            "fax_number": "540-536-0140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Sentara Cir Ste 202",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885727",
            "country_code": "US",
            "telephone_number": "757-984-9850",
            "fax_number": "757-345-6643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARK",
        "first_name": "ANTHONY",
        "middle_name": "LEARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DC",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101244571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amark585019@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amark585019@soc.inova.org",
            "affiliation": "N",
            "address_1": "190 Campus Blvd Ste 310",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "MARK",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.