Individual provider Active NPI

Mark Harold Passarella, MD

  • Urology Physician
  • Charlottesville, VA
National Provider Identifier
1841279445
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101234456 Issued in VA
Practice address
155 Riverbend Dr
Charlottesville, VA 22911-8607
Phone
(434) 295-0184
Fax
(434) 295-2463
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101234456 VA Primary

Addresses

Primary practice location

155 Riverbend Dr
Charlottesville, VA 22911-8607

Mailing address

155 Riverbend Dr
Charlottesville, VA 22911-8607
Phone (434) 295-0184

Other identifiers 1

IdentifierTypeStateIssuer
386744OtherANTHEM/BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20031126000558 VA Practitioner - Urology 9335044734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Georgetown University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Stone Center PLLCGroup PAC ID 2961315718, 71 clinicians
Urological Associates, LTDGroup PAC ID 0446232573, 3 clinicians

Practice addresses (Care Compare)

1040 Main St
Danville, VA 24541-1816
Phone (336) 765-6373

155 Riverbend Dr
Charlottesville, VA 22911-8607
Phone (434) 296-1166

Hospital & facility affiliations

  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101234456VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urological Associates, LTD Urology CurrentSince Jul 14, 2003 Accepting new patients
Piedmont Stone Center PLLC Urology CurrentSince Aug 1, 2003 Accepting new patients

Locations

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

155 Riverbend Dr
Charlottesvle, VA 22911
Phone (434) 295-0184

1040 Main St
Danville, VA 24541
Phone (434) 792-1433

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.

Hospital & facility affiliations 2

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1841279445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 RIVERBEND DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118607",
            "telephone_number": "434-295-0184",
            "fax_number": "434-295-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 RIVERBEND DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118607",
            "telephone_number": "434-295-0184",
            "fax_number": "434-295-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSARELLA",
        "first_name": "MARK",
        "middle_name": "HAROLD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101234456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BLUE CROSS",
            "identifier": "386744",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.