Individual provider Active NPI

Mark Andrew Ventura, M.D.

  • Urology Physician
  • Dartmouth, MA
National Provider Identifier
1679619654
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
150314 Issued in MA
Practice address
535 Faunce Corner Rd
Hawthorn Medical Assoc.
Dartmouth, MA 02747-1242
Phone
(508) 996-3991
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 150314 MA Primary

Addresses

Primary practice location

535 Faunce Corner Rd
Hawthorn Medical Assoc.
Dartmouth, MA 02747-1242

Mailing address

535 Faunce Corner Rd
Hawthorn Medical Assoc.
Dartmouth, MA 02747-3322
Phone (508) 996-3991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20070430000214 MA Practitioner - Urology 4385740869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical School at San Antonio, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

289 Pleasant St
Suite 601
Fall River, MA 02721-3005
Phone (774) 294-0019

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Diagnostic Services, Inc CurrentSince May 8, 2008 Accepting new patients
Steward Medical Group, Inc Urology CurrentSince Jul 1, 2013 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 1, 2013 Accepting new patients
Prima Care, PC CurrentSince Jul 1, 2024 Accepting new patients
Prima Care, PC CurrentSince Jul 1, 2024 Accepting new patients
Hawthorn Medical Associates, LLC Past Accepting new patients

Locations

2991 Cranberry Hwy
#2F
East Wareham, MA 02538

289 Pleasant St
Ste 601
Fall River, MA 02721
Phone (508) 646-7730

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0665

49 State Rd
Ste 204
North Dartmouth, MA 02747
Phone (508) 999-3100

49 State Rd
Ste 204N
North Dartmouth, MA 02747
Phone (508) 973-2206

237 State Rd
#A
North Dartmouth, MA 02747
Phone (413) 263-1027

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

Interoperability endpoints

  • Direct secure messaging: mark.ventura@prima.eclinicaldirectplus.com

Organizations & group practices 6

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 2

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1679619654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 FAUNCE CORNER RD",
            "address_2": "HAWTHORN MEDICAL ASSOC.",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473322",
            "telephone_number": "508-996-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FAUNCE CORNER RD",
            "address_2": "HAWTHORN MEDICAL ASSOC.",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-996-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTURA",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "150314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.