Individual provider Active NPI

Mark H. Iguchi, MD

  • Neurological Surgery Physician
  • Rosedale, MD
National Provider Identifier
1780710822
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
D0069740 Issued in MD
Practice address
9103 Franklin Square Dr Ste 301
Rosedale, MD 21237-3939
Phone
(443) 777-8807
Fax
(443) 777-6867
NPI assigned
Feb 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X D0069740 MD Primary

Addresses

Primary practice location

9103 Franklin Square Dr Ste 301
Rosedale, MD 21237-3939

Mailing address

9103 Franklin Square Dr Ste 301
Rosedale, MD 21237-3939
Phone (443) 777-8807

Other practice location 1

2118 Greenspring Dr
Timonium, MD 21093-3112
Phone (443) 777-8807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20111219000593 MD Practitioner - Neurosurgery 0042485187 Reassigns benefits to 2 organizations
I20260526001890 DC Practitioner - Neurosurgery 0042485187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Medical College of Wisconsin, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

2118 Greenspring Dr
Timonium, MD 21093-3112
Phone (410) 560-3480

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068
  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015
  • Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
85.51
Promoting interoperability
100
Improvement activities
40
Cost
65.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion156
Laminectomy or laminotomy (partial removal of spine bones)59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0069740MDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 15, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 15, 2023 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Nov 1, 2011 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Nov 1, 2011 Accepting new patients
Franklin Square Hospital Center, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

23511 Hollywood Rd
Ste 2
Leonardtown, MD 20650
Phone (301) 997-0611

1838 Greene Tree Rd
Pikesville, MD 21208
Phone (410) 486-8106

1838 Greene Tree Rd
Ste 245
Pikesville, MD 21208
Phone (410) 484-4800

9103 Franklin Square Dr
Ste 302
Rosedale, MD 21237
Phone (410) 248-6300

9103 Franklin Square Dr
Ste 301
Rosedale, MD 21237
Phone (443) 777-6540

2118 Greenspring Dr
Timonium, MD 21093
Phone (410) 252-5671

6535 N Charles St
Ste 600
Towson, MD 21204
Phone (443) 791-7827

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

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 3

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": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1780710822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 FRANKLIN SQUARE DR STE 301",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373939",
            "telephone_number": "443-777-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 FRANKLIN SQUARE DR STE 301",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373939",
            "telephone_number": "443-777-8807",
            "fax_number": "443-777-6867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2118 Greenspring Dr",
            "address_purpose": "LOCATION",
            "city": "Timonium",
            "state": "MD",
            "postal_code": "210933112",
            "country_code": "US",
            "telephone_number": "443-777-8807",
            "fax_number": "443-777-6867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGUCHI",
        "first_name": "MARK",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0069740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.