Individual provider Active NPI

Mark Andrew Bartolozzi, MD

  • Surgery Physician
  • Manassas, VA
National Provider Identifier
1881652329
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101048180 Issued in VA
Practice address
9001 Digges Rd
Ste 204
Manassas, VA 20110
Phone
(703) 257-9234
Fax
(703) 257-1560
NPI assigned
May 3, 2006
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101048180 VA Primary

Addresses

Primary practice location

9001 Digges Rd
Ste 204
Manassas, VA 20110

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (703) 257-9234

Other identifiers 4

IdentifierTypeStateIssuer
4235092OtherVAAETNA
7306105MedicaidVA
1881652329MedicaidVA
290719OtherVAANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MBARTOLOZZI29933@DIRECT.NOVANTHEALTH.ORG

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
I20111115000285 VA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 8123046919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
New York Medical College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9001 Digges Rd
Suite 204
Manassas, VA 20110-4414
Phone (703) 257-9234

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)22
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC CurrentSince Jan 1, 2012 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jan 1, 2012 Accepting new patients
DHP of Virginia PC CurrentSince Jan 1, 2019 Accepting new patients
NMG Affiliate Practice I, LLC Surgery Past Accepting new patients
Mark a Bartolozzi MD & Joseph J.Magalski, Jr. M.D.P.C Surgery PastSince Nov 21, 2009 Accepting new patients

Locations

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

15195 Heathcote Blvd
Ste 240
Haymarket, VA 20169
Phone (571) 261-2782

15195 Heathcote Blvd
Ste 330
Haymarket, VA 20169
Phone (571) 248-0167

44055 Riverside Pkwy
Ste 234
Leesburg, VA 20176
Phone (703) 858-3020

8640 Sudley Rd
Ste 203
Manassas, VA 20110
Phone (703) 368-3161

8650 Sudley Rd
Ste 215
Manassas, VA 20110
Phone (703) 208-0820

9001 Digges Rd
Ste 204
Manassas, VA 20110
Phone (703) 257-9234

14010 Smoketown Rd
Ste 105
Woodbridge, VA 22192
Phone (703) 730-4848

Interoperability endpoints

  • Direct secure messaging: mbartolozzi29933@direct.novanthealth.org

Organizations & group practices 5

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 3

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1881652329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "703-257-9234",
            "fax_number": "703-257-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 DIGGES RD",
            "address_2": "STE 204",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-257-9234",
            "fax_number": "703-257-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLOZZI",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101048180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4235092",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7306105",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881652329",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "290719",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MBARTOLOZZI29933@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "9001 Digges Rd",
            "address_2": "Ste 204",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "20110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.