Active NPI
Mark Facchin, M.D.
- Anesthesiology Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 272300
- Practice address
- 4401 Penn Avenue Upmc Children'S Hospital of Pittsburgh
Department of Anesthesia-Suite 5643
Pittsburgh, PA 15224 - Phone
- (412) 692-4528
- NPI assigned
- Mar 21, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | 70660 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MA | ||
| Anesthesiology Physician | 207L00000X | 272300 | MA | Primary |
Addresses
Primary practice location
4401 Penn Avenue Upmc Children'S Hospital of Pittsburgh
Department of Anesthesia-Suite 5643
Pittsburgh, PA 15224
Mailing address
3600 Forbes Avenue
Forbes Tower-Plaza Level Suite 140
Pittsburgh, PA 15213
Phone (619) 638-6950
Other practice location 1
282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9520
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mfacchin69548@connecticutchildrens.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117
Hospital & facility affiliations
- Hartford Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Current | Accepting new patients | |
| Connecticut Children'S Specialty Group, Inc. | Current | Accepting new patients | |
| Integrated Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
Locations
505 Farmington Ave
Farmington, CT 06032
Phone (860) 837-6700
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
Interoperability endpoints
- mfacchin69548@connecticutchildrens.direct-ci.com
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.
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
-
- Ophthalmology Physician
- Glastonbury, CT
- NPI 1568056984
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1851822019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FORBES AVENUE",
"address_2": "FORBES TOWER-PLAZA LEVEL SUITE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15213",
"telephone_number": "619-638-6950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 PENN AVENUE UPMC CHILDREN'S HOSPITAL OF PITTSBURGH",
"address_2": "DEPARTMENT OF ANESTHESIA-SUITE 5643",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15224",
"telephone_number": "412-692-4528"
}
],
"practiceLocations": [
{
"address_1": "282 Washington St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061063322",
"country_code": "US",
"telephone_number": "860-545-9520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FACCHIN",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-21",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "CT",
"license": "70660",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "272300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mfacchin69548@connecticutchildrens.direct-ci.com",
"affiliation": "N",
"address_1": "282 Washington St",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061063322",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.