Individual provider Active NPI

Mark A Awolesi, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bellingham, WA
National Provider Identifier
1871605485
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD61679261 Issued in WA
Practice address
2979 Squalicum Pkwy Ste 201
Bellingham, WA 98225-1813
Phone
(360) 788-6800
NPI assigned
Aug 31, 2006
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X V7346 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 309149 LA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 224398 NY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD61679261 WA Primary

Addresses

Primary practice location

2979 Squalicum Pkwy Ste 201
Bellingham, WA 98225-1813

Mailing address

3495 Bailey Ave
Ct111
Buffalo, NY 14215-1129
Phone (716) 862-6075

Other practice location 1

3495 Bailey Ave
Ct111
Buffalo, NY 14215-1129
Phone (716) 862-6075

Other practice location 2

16777 Medical Center Dr
Baton Rouge, LA 70816-3254
Phone (225) 754-3278

Other practice location 3

755 N 11th St Ste 2240
Beaumont, TX 77702-1500
Phone (409) 899-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180730001723 LA Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 9436336484 Reassigns benefits to 1 organization
I20250623001919 TX Practitioner - Thoracic Surgery 9436336484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224398NYMDLicensed Practical Nurse
V7346TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jun 25, 2018 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 25, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 4, 2025 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 4, 2025 Accepting new patients
Associated Cardiovascular & Thoracic Surgeons, L.L.P. Past Accepting new patients
Trinity Clinic Past Accepting new patients

Locations

16777 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-3278

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

755 N 11th St
Ste P2240
Beaumont, TX 77702
Phone (409) 899-4747

2246 Nall St
Port Neches, TX 77651
Phone (409) 344-4010

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: mawolesi746270@direct.peacehealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1871605485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 BAILEY AVE",
            "address_2": "CT111",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151129",
            "telephone_number": "716-862-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 SQUALICUM PKWY STE 201",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251813",
            "telephone_number": "360-788-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3495 Bailey Ave",
            "address_2": "CT111",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142151129",
            "country_code": "US",
            "telephone_number": "716-862-6075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16777 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708163254",
            "country_code": "US",
            "telephone_number": "225-754-3278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 N 11th St Ste 2240",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021500",
            "country_code": "US",
            "telephone_number": "409-899-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWOLESI",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "V7346",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "309149",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "224398",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WA",
            "license": "MD61679261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.