Individual provider Active NPI

Mark Alan Pinsky, M.D.

  • Plastic Surgery Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1699884510
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME59710 Issued in FL
Practice address
11020 Rca Center Dr
Suite 2010
Palm Beach Gardens, FL 33410-4277
Phone
(561) 881-8800
Fax
(561) 848-5878
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME59710 FL Primary

Addresses

Primary practice location

11020 Rca Center Dr
Suite 2010
Palm Beach Gardens, FL 33410-4277

Mailing address

11020 Rca Center Dr
Suite 2010
Palm Beach Gardens, FL 33410-4277
Phone (561) 881-8800

Other identifiers 2

IdentifierTypeStateIssuer
054699200MedicaidFL
12642OtherFLBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051108000906 FL Practitioner - Plastic and Reconstructive Surgery 5092733576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME59710FLMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aqua Dermatology of Florida, PA CurrentSince Feb 1, 2024 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Feb 1, 2024 Accepting new patients

Locations

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

11020 Rca Center Dr
Palm Beach Gardens, FL 33410
Phone (561) 881-8800

11020 Rca Center Dr
Ste 2010
West Palm Bch, FL 33410
Phone (561) 258-9561

900 Village Square Xing
Ste 290
West Palm Beach, FL 33410
Phone (239) 313-2517

Interoperability endpoints

  • Direct secure messaging: mpinsky20624@jupitermedicalcenter.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1699884510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 RCA CENTER DR",
            "address_2": "SUITE 2010",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104277",
            "telephone_number": "561-881-8800",
            "fax_number": "561-848-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 RCA CENTER DR",
            "address_2": "SUITE 2010",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104277",
            "telephone_number": "561-881-8800",
            "fax_number": "561-848-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSKY",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME59710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054699200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "12642",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.