Individual provider Active NPI

Mark R. Speake, M.D.

  • Pediatrics Physician
  • Lewisburg, PA
National Provider Identifier
1821046970
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD033844E Issued in PA
Practice address
250 Reitz Blvd
Lewisburg, PA 17837-9208
Phone
(570) 253-0055
Fax
(570) 523-7996
NPI assigned
May 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD033844E PA
Pediatrics Physician 208000000X MD033844E PA Primary

Addresses

Primary practice location

250 Reitz Blvd
Lewisburg, PA 17837-9208

Mailing address

100 N Academy Ave
Danville, PA 17822-3034
Phone (570) 271-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190920002817 FL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4082713292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

311 9TH St N
Suite 304
Naples, FL 34102-5887
Phone (239) 261-5330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD033844EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Aug 26, 2019 Accepting new patients
Nchmd Inc CurrentSince Aug 26, 2019 Accepting new patients

Locations

311 Tamiami Trl N
Ste 300
Naples, FL 34102
Phone (239) 213-9970

311 Tamiami Trl N
Ste 304
Naples, FL 34102
Phone (239) 624-2730

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

Interoperability endpoints

  • Direct secure messaging: mspeake23280@nchhealthcaresystem.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821046970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178223034",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 REITZ BLVD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379208",
            "telephone_number": "570-253-0055",
            "fax_number": "570-523-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKE",
        "first_name": "MARK",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD033844E",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD033844E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.