Active NPI
Mark R. Vesely, MD
- Interventional Cardiology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- D67290
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-5793
- Fax
- (410) 328-0248
- NPI assigned
- Feb 10, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D67290 | MD | |
| Interventional Cardiology Physician | 207RI0011X | D67290 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-5793
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S062-0331 | Other | MD | CAREFIRST BC/BS REGIONAL |
| 414670100 | Medicaid | MD | |
| 932536-01 | Other | MD | CAREFIRST BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- George Washington University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 659-2800
Hospital & facility affiliations
- Mercy Medical Center Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Paul Place Specialists, Inc. | Current | Accepting new patients | |
| St Paul Place Specialists Inc | Current | Accepting new patients | |
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Cardiovascular Disease | Current | Accepting new patients |
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Physicians PA | Cardiovascular Disease | Current | Accepting new patients |
| St. Paul Place Specialists, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Saint Paul Place Specialists, Inc. | Past | Accepting new patients |
Locations
419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930
419 W Redwood St
Bldg Cardiology
Baltimore, MD 21201
Phone (410) 328-5196
11121 York Rd
Hunt Valley, MD 21030
Phone (410) 628-0026
7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654
114 Business Center Dr
Reisterstown, MD 21136
Phone (410) 661-3338
7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150
193 Stoner Ave
Ste 350
Westminster, MD 21157
Phone (410) 876-0086
Interoperability endpoints
- mvesely110319@direct.mdmercy.com
Organizations & group practices 11
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.
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Cardiovascular Disease
-
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- Towson, MD
- NPI 1053816074
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- General Acute Care Hospital
- Frederick, MD
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- Physical Therapist
- Baltimore, MD
- NPI 1346292422
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1144282583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1689715641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64442",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644442",
"telephone_number": "410-328-5793",
"fax_number": "410-328-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-5793",
"fax_number": "410-328-0248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESELY",
"first_name": "MARK",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-10",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D67290",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MD",
"license": "D67290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS REGIONAL",
"identifier": "S062-0331",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "414670100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "932536-01",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.