Active NPI
Mark Fogarty, M.D.
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1770577736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 106500
- Practice address
- 7419 Watson Rd
Saint Louis, MO 63119-4415 - Phone
- (314) 400-3360
- Fax
- (314) 400-3361
- NPI assigned
- Sep 7, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 106500 | MO | Primary |
Addresses
Primary practice location
7419 Watson Rd
Saint Louis, MO 63119-4415
Mailing address
PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 400-3360
Other practice location 1
7345 Watson Rd
Saint Louis, MO 63119-4405
Phone (314) 752-7100 ext. 8638
Other practice location 2
7345 Watson Rd
Saint Louis, MO 63119-4405
Phone (314) 752-7100 ext. 8638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209776202 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Vanderbilt University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7419 Watson Rd
Saint Louis, MO 63119-4415
Phone (314) 400-3360
9594 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 274-6314
Hospital & facility affiliations
- Pathways Hospice and Palliative Care
- Mercy Hospital South
- Missouri Baptist Medical Center
- SSM Health Rehabilitation Hospital
- Lutheran Convalescent Home
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 38 |
| Removal of nail tissue | 39 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106500 | MO | MD | Internal Medicine Physician |
Interoperability endpoints
- mark.fogarty.p1@direct.essehealth.nextgenshare.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1972559532
-
- Rehabilitation Clinic/Center
- Arnold, MO
- NPI 1639400179
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Chesterfield, MO
- NPI 1447245360
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1770577736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23340",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631563340",
"telephone_number": "314-400-3360",
"fax_number": "314-400-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7419 WATSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631194415",
"telephone_number": "314-400-3360",
"fax_number": "314-400-3361"
}
],
"practiceLocations": [
{
"address_1": "7345 Watson Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631194405",
"country_code": "US",
"telephone_number": "314-752-7100 x8638",
"fax_number": "314-752-3284",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7345 Watson Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631194405",
"country_code": "US",
"telephone_number": "314-752-7100 x8638",
"fax_number": "314-752-3284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOGARTY",
"first_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "106500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209776202",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.