Individual provider Active NPI

Mark A Dirnberger, D.O.,P.A.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Mansfield, TX
National Provider Identifier
1841366465
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
L5305 Issued in TX
Practice address
74 Regency Pkwy
Mansfield, TX 76063-7816
Phone
(817) 419-6000
Fax
(817) 419-9582
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X L5305 TX
Neuromusculoskeletal Medicine & OMM Physician 204D00000X L5305 TX Primary

Addresses

Primary practice location

74 Regency Pkwy
Mansfield, TX 76063-7816

Mailing address

74 Regency Pkwy
Mansfield, TX 76063-7816
Phone (817) 419-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040428001498 TX Practitioner - Interventional Pain ManagementPractitioner - Osteopathic Manipulative MedicinePractitioner - Physical Medicine and Rehabilitation 8123015369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Osteopathic Manipulative Medicine, Physical Medicine and Rehabilitation
Education
University of North Texas HSC, College of Osteopathic Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regency Pain, PLLCGroup PAC ID 7315324555, 2 clinicians

Practice addresses (Care Compare)

74 Regency Pkwy
Mansfield, TX 76063-7816
Phone (817) 419-6111

Merit-based Incentive Payment System (MIPS)

Final score
76.17 of 100Reported as group
Quality
62.89
Improvement activities
40
Cost
65.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Pain, PLLC Neuromusculoskeletal Medicine & Omm CurrentSince Aug 1, 2022 Accepting new patients
Mark Dirnberger DO PA Neuromusculoskeletal Medicine & Omm CurrentSince Dec 3, 2007 Accepting new patients

Locations

4898 Little Rd
Arlington, TX 76017
Phone (817) 572-7941

2001 SE Green Oaks Blvd
Ste 130
Arlington, TX 76018
Phone (817) 419-6111

16970 Dallas Pkwy
Ste 500
Dallas, TX 75248
Phone (972) 248-1303

74 Regency Pkwy
Mansfield, TX 76063
Phone (817) 419-6111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCAICD
  • FHIR API: https://api.platform.athenahealth.com/11201/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.dirnberger.1@11201.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1841366465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 REGENCY PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637816",
            "telephone_number": "817-419-6111",
            "fax_number": "817-419-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 REGENCY PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637816",
            "telephone_number": "817-419-6000",
            "fax_number": "817-419-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRNBERGER",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.,P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "L5305",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TX",
            "license": "L5305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.