Individual provider Active NPI

Mark C. Nitzberg, M.D.

  • Gastroenterology Physician
  • Methuen, MA
National Provider Identifier
1881652758
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
74584 Issued in MA
Practice address
38R Merrimack St.
Suite 2C
Methuen, MA 01844
Phone
(978) 681-1977
Fax
(978) 686-8918
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 74584 MA Primary

Addresses

Primary practice location

38R Merrimack St.
Suite 2C
Methuen, MA 01844

Mailing address

380R Merrimack St.
Suite 2C
Methuen, MA 01844
Phone (978) 681-1977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20050725000909 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 3870520588 Reassigns benefits to 1 organization
I20160503000287 NH Practitioner - GastroenterologyPractitioner - Internal Medicine 3870520588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Massachusetts Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16 Keewaydin Dr
Salem, NH 03079-2839
Phone (603) 401-6466

380 R Merrimack St
Suite 2C
Methuen, MA 01844-5884

411 Merrimack St
Suite 202
Methuen, MA 01844-5821
Phone (978) 681-1977

70 E St
Methuen, MA 01844-4597
Phone (978) 687-0151

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy123
Upper gastrointestinal (GI) endoscopy for acid reflux44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74584MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark C. Nitzberg, P.C. Gastroenterology CurrentSince Aug 1, 2001 Accepting new patients

Locations

411 Merrimack St
Ste 202
Methuen, MA 01844
Phone (978) 681-1977

380R Merrimack St
Ste 2C
Methuen, MA 01844
Phone (978) 681-1977

16 Keewaydin Dr
Salem, NH 03079
Phone (603) 401-6466

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12318/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.nitzberg.1@12318.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1881652758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380R MERRIMACK ST.",
            "address_2": "SUITE 2C",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-681-1977",
            "fax_number": "978-686-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38R MERRIMACK ST.",
            "address_2": "SUITE 2C",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-681-1977",
            "fax_number": "978-686-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITZBERG",
        "first_name": "MARK",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "74584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.