Individual provider Active NPI

Mark Hilborn, MD

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1750380457
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036101049 Issued in IL
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

Updated by the provider on Feb 19, 2020

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 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

IdentifierTypeStateIssuer
300104799OtherILRAILROAD MEDICARE
0361010491MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071130000009 PA Practitioner - Diagnostic Radiology 3173428315 Reassigns benefits to 4 organizations
I20200108000112 FL Practitioner - Diagnostic Radiology 3173428315 Reassigns benefits to 1 organization

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
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Greater Pittsburgh Heart and Vascular PLLCGroup PAC ID 1850689720, 2 clinicians

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

LicenseStateTypeSpecialty
036101049ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Hospital and Health Center CurrentSince Mar 1, 2020 Accepting new patients
Millennium Physician Group LLC CurrentSince Feb 1, 2020 Accepting new patients
Cherry Tree Medical Associates Inc CurrentSince Feb 15, 2011 Accepting new patients
Cherry Tree Medical Associates Inc CurrentSince Feb 15, 2011 Accepting new patients
Millennium Physician Group LLC CurrentSince Feb 1, 2020 Accepting new patients
Butler Imaging and Interventional Associates LLC Diagnostic Radiology CurrentSince Jan 23, 2010 Accepting new patients
Greater Pittsburgh Heart & Vascular PLLC Diagnostic Radiology CurrentSince Mar 5, 2017 Accepting new patients
Highlands Hospital and Health Center CurrentSince Mar 1, 2020 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

  • Direct secure messaging: 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.

View all 13

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

Verify at the official NPI Registry.