Individual provider Active NPI

Mark Douglas Hughes, MD

  • Gastroenterology Physician
  • Sebastian, FL
National Provider Identifier
1700870847
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME113291 Issued in FL
Practice address
12920 US Highway 1 Ste B
Sebastian, FL 32958-3772
Phone
(772) 589-0580
Fax
(321) 841-7985
NPI assigned
Sep 6, 2005
Last updated
Aug 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME113291 FL Primary

Addresses

Primary practice location

12920 US Highway 1 Ste B
Sebastian, FL 32958-3772

Mailing address

12920 US Highway 1 Ste B
Sebastian, FL 32958-3772
Phone (772) 589-0580

Other practice location 1

1846 Highway 1
Rockledge, FL 32955-2822
Phone (321) 434-9560

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
I20120626000560 FL Practitioner - Gastroenterology 9638265853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Louisville School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

12920 US Hwy 1
Suite B
Sebastian, FL 32958-3772
Phone (772) 388-8322

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as apm
Quality
86.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy80
Upper gastrointestinal (GI) endoscopy for acid reflux89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
Bluegrass Gastroenterology Associates P.S.C. Gastroenterology PastSince Aug 1, 2007 Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

12920 US Highway 1
Ste B
Sebastian, FL 32958
Phone (772) 228-9808

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mhughes26567@epicdirect.hf.org

Organizations & group practices 3

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 1

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1700870847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12920 US HIGHWAY 1 STE B",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583772",
            "telephone_number": "772-589-0580",
            "fax_number": "321-841-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12920 US HIGHWAY 1 STE B",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583772",
            "telephone_number": "772-589-0580",
            "fax_number": "321-841-7985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1846 Highway 1",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329552822",
            "country_code": "US",
            "telephone_number": "321-434-9560",
            "fax_number": "321-434-7078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME113291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.