NPIMap

Individual provider Active NPI

Matthew Mark, MD

  • Family Medicine Physician
  • Bedford, OH
National Provider Identifier
1881782936
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35075459M Issued in OH
Practice address
50 Blaine Ave Ste 2200
Bedford, OH 44146-2709
Phone
(440) 232-5400
Fax
(440) 232-0084
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35075459M OH Primary

Addresses

Primary practice location

50 Blaine Ave Ste 2200
Bedford, OH 44146-2709

Mailing address

PO Box 901666
Cleveland, OH 44190-1666
Phone (440) 232-5400

Other identifiers 1

IdentifierTypeStateIssuer
2191097MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address matthewmark@uhps.allscriptsdirect.net
Direct Messaging Address matthewmark@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000273 OH Practitioner - Family Practice 9436284205 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

88 Ctr Rd
Suite 250a
Bedford, OH 44146-2711
Phone (440) 735-2804

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35075459MOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Hospitals Regional Practices LLC Family Medicine CurrentSince Jul 21, 2019 Accepting new patients
University Hospitals Medical Group Inc CurrentSince May 14, 2024 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

50 Blaine Ave
Ste 2200
Bedford, OH 44146
Phone (440) 232-5400

88 Center Rd
Ste 250A
Bedford, OH 44146
Phone (440) 735-2804

88 Warrensville Center Rd
Bedford Heights, OH 44146
Phone (216) 587-3422

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

15976 E High St
Ste 100
Middlefield, OH 44062
Phone (440) 632-0770

Interoperability endpoints

  • Direct secure messaging: mmark37497@ehrdirect.uhhospitals.org

Organizations & group practices 4

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 7

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1881782936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901666",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441901666",
            "telephone_number": "440-232-5400",
            "fax_number": "440-232-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BLAINE AVE STE 2200",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462709",
            "telephone_number": "440-232-5400",
            "fax_number": "440-232-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35075459M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2191097",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthewmark@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "50 Blaine Ave Ste 2200",
            "city": "Bedford",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441462709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthewmark@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "50 Blaine Ave Ste 2200",
            "city": "Bedford",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441462709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

Verify at the official NPI Registry.