NPIMap

Individual provider Active NPI

Mark H Monroe, M.D.

  • Diagnostic Radiology Physician
  • Columbia, MO
National Provider Identifier
1740294396
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2004021601 Issued in MO
Practice address
311 N Keene St
Columbia, MO 65201-6623
Phone
(573) 442-1788
Fax
(573) 442-1789
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2004021601 MO Primary

Addresses

Primary practice location

311 N Keene St
Columbia, MO 65201-6623

Mailing address

311 N Keene St
Columbia, MO 65201-6623
Phone (573) 442-1788

Other identifiers 1

IdentifierTypeStateIssuer
208383604MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20041104000341 MO Practitioner - Diagnostic Radiology 3173427440 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas a & M University System, HSC, College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians

Practice addresses (Care Compare)

1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000

Hospital & facility affiliations

  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141
  • Macon County Samaritan Memorial Hospital Hospital, Macon, MO, CCN 261313
  • Moberly Regional Medical Center Hospital, Moberly, MO, CCN 260074
  • Fitzgibbon Hospital Hospital, Marshall, MO, CCN 260142

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Physician Services, LLC CurrentSince Nov 4, 2024 Accepting new patients
Columbia Orthopaedic Group, LLP CurrentSince Oct 1, 2016 Accepting new patients
Macon County Samaritan Hospital CurrentSince Nov 30, 2004 Accepting new patients
Advanced Radiology LLC Diagnostic Radiology CurrentSince Mar 1, 2007 Accepting new patients
Columbia Orthopaedic Group, LLP CurrentSince Oct 1, 2016 Accepting new patients
Columbia Radiology Imaging Services, LLC Diagnostic Radiology CurrentSince Oct 25, 2004 Accepting new patients
Bryan Radiology Associates Diagnostic Radiology Past Accepting new patients

Locations

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1 S Keene St
Columbia, MO 65201
Phone (573) 443-2402

311 N Keene St
Columbia, MO 65201
Phone (573) 442-1788

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

1037 Palisades Blvd
Ste 7
Osage Beach, MO 65065
Phone (573) 442-1788

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 and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1740294396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016623",
            "telephone_number": "573-442-1788",
            "fax_number": "573-442-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016623",
            "telephone_number": "573-442-1788",
            "fax_number": "573-442-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "MARK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2004021601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208383604",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "3 Hospital Dr",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652015276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.