Active NPI
Mark R. Jones, MD
- Radiation Oncology Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 30394
- Practice address
- 4500 Churchman Ave
Suite 100
Louisville, KY 40215-1143 - Phone
- (502) 363-3100
- Fax
- (502) 363-1110
- NPI assigned
- Sep 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 30394 | KY | Primary |
Addresses
Primary practice location
4500 Churchman Ave
Suite 100
Louisville, KY 40215-1143
Mailing address
2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1052405 | Other | KY | PASSPORT HEALTH PROV. # |
| P01778546 | Other | KY | RR MEDICARE |
| 000001043251 | Other | KY | ANTHEM BCBS |
| 1052404 | Other | KY | PASSPORT HEALTH GRP # |
| 4675796 | Other | KY | AETNA OTHER # |
| 2092988 | Other | KY | AETNA |
| 4541164 | Other | KY | CIGNA - LKO |
| 000000039660 | Other | KY | ANTHEM BCBS PROV. # |
| 64303944 | Medicaid | KY | |
| 200833760 | Medicaid | IN | |
| 50115896 | Other | FL | UNIVERSITY HEALTHCARE |
| 1178107 | Other | KY | GATEWAY HEALTH |
| 2092988 | Other | KY | AETNA HMO # |
| 4541164 | Other | KY | CIGNA |
| 598967 | Other | KY | STERLING HEALTH |
| 92004007 | Other | KY | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Radiation Oncology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
2210 Green Valley Rd
New Albany, IN 47150
Phone (812) 945-4000
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
4003 Kresge Way
Ste 115
Louisville, KY 40207
Phone (502) 897-8163
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
Interoperability endpoints
- mark.jones@directaddress.net
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
Radiation Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1851386767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 CHURCHMAN AVE",
"address_2": "SUITE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402151143",
"telephone_number": "502-363-3100",
"fax_number": "502-363-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MARK",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "KY",
"license": "30394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HEALTH PROV. #",
"identifier": "1052405",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01778546",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000001043251",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HEALTH GRP #",
"identifier": "1052404",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA OTHER #",
"identifier": "4675796",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2092988",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA - LKO",
"identifier": "4541164",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS PROV. #",
"identifier": "000000039660",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64303944",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200833760",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTHCARE",
"identifier": "50115896",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH",
"identifier": "1178107",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO #",
"identifier": "2092988",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4541164",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STERLING HEALTH",
"identifier": "598967",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "92004007",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.