Individual provider Active NPI

Mark B Faries, M.D.

  • Surgery Physician
  • New Haven, CT
National Provider Identifier
1659428969
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A80132 Issued in CA
Practice address
20 York St
Smilow Cancer Hospital
New Haven, CT 06510-3220
Phone
(203) 785-3577
Fax
(203) 737-4067
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A80132 CA Primary

Addresses

Primary practice location

20 York St
Smilow Cancer Hospital
New Haven, CT 06510-3220

Mailing address

20 York Street
New Haven, CT 06510
Phone (203) 785-3577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100715000300 CA Practitioner - Surgical OncologyPractitioner - General Surgery 4587796255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
JS Weill Medical College, Cornell University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

2001 Santa Monica Blvd
Suite 560W
Santa Monica, CA 90404-2182
Phone (310) 582-7900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision115
Removal of skin lesions25
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80132CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Apr 1, 2017 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Oncology Institute Medical Group Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

11800 Wilshire Blvd
#3
Los Angeles, CA 90025
Phone (310) 231-2121

1328 22nd St
Fl W
Santa Monica, CA 90404
Phone (310) 829-8089

2001 Santa Monica Blvd
Ste 560W
Santa Monica, CA 90404
Phone (310) 453-5654

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2121 Wilshire Blvd
Ste 201
Santa Monica, CA 90403
Phone (310) 264-7300

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Interoperability endpoints

  • Direct secure messaging: mfaries102683@direct.cshs.org

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.

Hospital & facility affiliations 3

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1659428969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK STREET",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06510",
            "telephone_number": "203-785-3577",
            "fax_number": "203-737-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "address_2": "SMILOW CANCER HOSPITAL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-785-3577",
            "fax_number": "203-737-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIES",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A80132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.