Individual provider Active NPI

Mark Jeffrey Barcelo, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Concord TWP, OH
National Provider Identifier
1720047731
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35-057712 Issued in OH
Practice address
7580 Auburn Rd Ste 302
Concord TWP, OH 44077-9618
Phone
(440) 354-4208
Fax
(440) 354-1151
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35-057712 OH Primary

Addresses

Primary practice location

7580 Auburn Rd Ste 302
Concord TWP, OH 44077-9618

Mailing address

30701 Lorain Rd Ste a
North Olmsted, OH 44070-6325
Phone (440) 274-5000

Other identifiers 5

IdentifierTypeStateIssuer
0888580MedicaidOH
000000126682OtherANTHEM BCBS
353767OtherWELLCARE OF OHIO
4284824OtherAETNA
1100285OtherUNITED HEALTH CARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dr.M.Barcelo@lakehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20101004000786 OH Practitioner - Pathology 4688655319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-057712OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2023 Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: dr.m.barcelo@lakehealth.org
  • Direct secure messaging: mbarcelo96883@ehrdirect.uhhospitals.org

Organizations & group practices 1

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 8

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1720047731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30701 LORAIN RD STE A",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440706325",
            "telephone_number": "440-274-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 AUBURN RD STE 302",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779618",
            "telephone_number": "440-354-4208",
            "fax_number": "440-354-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCELO",
        "first_name": "MARK",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35-057712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0888580",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000126682",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF OHIO",
            "identifier": "353767",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4284824",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1100285",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dr.M.Barcelo@lakehealth.org",
            "affiliation": "N",
            "endpointDescription": "Lake Hosp Direct Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "7580 Auburn Rd Ste 302",
            "city": "Concord Twp",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440779618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord TWP, OH

Sources for this page

Verify at the official NPI Registry.