Active NPI
Mark Hilborn, MD
- Diagnostic Radiology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036101049
- Practice address
- 13813 Metro Pkwy
Fort Myers, FL 33912-4343 - Phone
- (239) 936-1343
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036101049 | IL | Primary |
Addresses
Primary practice location
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300104799 | Other | IL | RAILROAD MEDICARE |
| 0361010491 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343
30 Poplar LN
Suite B
Uniontown, PA 15401-8969
Phone (724) 550-4744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036101049 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highlands Hospital and Health Center | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Cherry Tree Medical Associates Inc | Current | Accepting new patients | |
| Cherry Tree Medical Associates Inc | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Butler Imaging and Interventional Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Greater Pittsburgh Heart & Vascular PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Highlands Hospital and Health Center | Current | Accepting new patients | |
| Radiology Associates of Mansfield, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Templeton Readings, LLC | Diagnostic Radiology | Past | Accepting new patients |
| The Union Hospital Association | Past | Accepting new patients | |
| Blanchard Valley Surgical Specialists Inc | Past | Accepting new patients | |
| Lewistown Ambulatory Care Corp | Diagnostic Radiology | Past | Accepting new patients |
Locations
14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
13813 Metro Pkwy
Fort Myers, FL 33912
Phone (239) 936-1343
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
9360 River Rd
Marcy, NY 13403
129 Simpson Rd
Brownsville, PA 15417
Phone (724) 439-4531
1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800
401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343
100 Ridgeview Dr
Unit 3
Smithfield, PA 15478
Phone (724) 569-8100
30 Poplar Ln
Unit B
Uniontown, PA 15401
25 Highland Park Dr
Uniontown, PA 15401
Phone (724) 438-3040
30 Poplar Ln
Ste B
Uniontown, PA 15401
Phone (724) 550-4744
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- mark.hilborn.1@4290.direct.athenahealth.com
Organizations & group practices 13
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
dba Greater Pittsburgh Heart & Vascular
- Cardiovascular Disease Physician
- Uniontown, PA
- NPI 1417401621
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Butler, PA
- NPI 1659518389
-
- Multi-Specialty Clinic/Center
- Uniontown, PA
- NPI 1578576559
-
dba Highlands Hospital Physicians
- Family Medicine Physician
- Connellsville, PA
- NPI 1447443957
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Clinical Medical Laboratory
- Uniontown, PA
- NPI 1982872180
-
dba Penn Highlands Connellsville
- Internal Medicine Physician
- Connellsville, PA
- NPI 1518680164
-
- Colon & Rectal Surgery Physician
- Findlay, OH
- NPI 1699848689
-
- Diagnostic Radiology Physician
- Lewistown, PA
- NPI 1376609834
-
- Diagnostic Radiology Physician
- Mansfield, OH
- NPI 1770697450
-
- Diagnostic Radiology Physician
- Sparks, MD
- NPI 1770754715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1750380457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13813 METRO PKWY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124343",
"telephone_number": "239-936-1343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILBORN",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036101049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300104799",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361010491",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.