Mark Allen Gdowski, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

2014024076 Issued in MO

Practice address

121 Saint Lukes Center Dr Ste 303
Chesterfield, MO 63017-3519

Phone

(314) 434-3278

Fax

(314) 590-5949

NPI assigned

Jun 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart Health Specialists, LLCGroup PAC ID 3779727565, 10 clinicians

Heart Care Specialists LLCGroup PAC ID 2062774755, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
• Memorial Hospital Hospital, Belleville, IL, CCN 140185
• Phelps County Regional Medical Center Hospital, Rolla, MO, CCN 260017

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Heart Care Specialists, LLC

  • Medical Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1275031866
  Medicare reassignment Care Compare group NPD
• Heart Health Specialists, LLC

  • Cardiovascular Disease Physician
  • Chesterfield, MO
  • NPI 1053756296
  Medicare reassignment Care Compare group NPD
• Ap US 14, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1902415904

  MO

  Medicare reassignment
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Phelps County Regional Medical Center

  dba Phelps Health Medical Group

  • Rural Health Clinic/Center
  • Salem, MO
  • NPI 1194077701

  Hospital

  Care Compare affiliation
• Phelps County Regional Medical Center

  dba Phelps Health

  • Rehabilitation Hospital Unit
  • Rolla, MO
  • NPI 1346287455
  Care Compare affiliation
• Phelps County Regional Medical Center

  dba Phelps Health

  • General Acute Care Hospital
  • Rolla, MO
  • NPI 1891766051
  Care Compare affiliation
• St. Lukes Episcopal-Presbyterian Hospital

  dba St. Luke's Hospital

  • General Acute Care Hospital
  • Chesterfield, MO
  • NPI 1346251543
  Care Compare affiliation
• Protestant Memorial Medical Center, Inc.

  dba Memorial Hospital

  • General Acute Care Hospital
  • Belleville, IL
  • NPI 1982796181
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1831453505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SAINT LUKES CENTER DR STE 303",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173519",
            "telephone_number": "314-434-3278",
            "fax_number": "314-590-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SAINT LUKES CENTER DR STE 303",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173519",
            "telephone_number": "314-434-3278",
            "fax_number": "314-590-5949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 N New Ballas Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631416859",
            "country_code": "US",
            "telephone_number": "314-991-6969",
            "fax_number": "314-997-6969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GDOWSKI",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2014024076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateway Direct Primary Care JV LLC (Marathon Health- Chesterfield MO-Woodlake Dr)
• Gateway Gastroenterology Inc
• Gateway Medical Equipment, L.L.C.
• Gateway Pediatrics, LTD
• Gateway Wound Care LLC
• Heidi Geers
• Scott E Geiger, M.D.
• Taylor Elizabeth Geisman, MD
• Vladimir Gelfand, MD
• Gelner Optometry, P.C.

• Interventional Cardiology Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Interventional Cardiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.

Verify at the official NPI Registry.