NPIMap

Individual provider Active NPI

Mark Nagrani, M.D.

  • Specialist
  • New Smyrna Beach, FL
National Provider Identifier
1699717611
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME48245 Issued in FL
Practice address
612 Palmetto St
New Smyrna Beach, FL 32168-7327
Phone
(386) 423-5500
NPI assigned
Jun 12, 2006
Last updated
Apr 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME48245 FL Primary

Addresses

Primary practice location

612 Palmetto St
New Smyrna Beach, FL 32168-7327

Mailing address

612 Palmetto St
New Smyrna Beach, FL 32168-7327
Phone (386) 423-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000759 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 5193624104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mark a Nagrani MD PAGroup PAC ID 4284533290, 4 clinicians

Practice addresses (Care Compare)

612 Palmetto St
New Smyrna Beach, FL 32168-7327
Phone (386) 423-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy186
Upper gastrointestinal (GI) endoscopy for acid reflux298

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Medical Center Inc Current Accepting new patients
Mark a Nagrani MD PA Specialist CurrentSince Aug 14, 2001 Accepting new patients
New Smyrna Beach Ambulatory Care Center Current Accepting new patients
New Smyrna Beach Ambulatory Care Center Inc CurrentSince Jan 1, 1996 Accepting new patients
United Pathologist Laboratory Past Accepting new patients
Mark Nagrani, MD Inc Past Accepting new patients

Locations

612 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 423-5500

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1699717611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687327",
            "telephone_number": "386-423-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687327",
            "telephone_number": "386-423-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGRANI",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME48245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.