Mark A Maiocco, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00034907 Issued in WA

Practice address

611 N 39TH Ave
Yakima, WA 98902-6348

Phone

(509) 249-1288

Fax

(509) 249-6249

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Family Practice

Education

University of Washington School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quality Care Medical Clinic LLCGroup PAC ID 3274428008, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountainview Home Health Home health agency, Yakima, WA, CCN 507115
• Memorial Home Care Services Home health agency, Yakima, WA, CCN 507028

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Quality Care Medical Clinic,LLC

  • Family Medicine Physician
  • Yakima, WA
  • NPI 1285738799
  Medicare reassignment Care Compare group
• Yakima Hma Physician Management LLC

  • Family Medicine Physician
  • Yakima, WA
  • NPI 1730139510
  NPD (past)
• Apogee Medical Group, Washington PC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1740445238
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mountainview Home Health, LLC

  • Home Health Agency
  • Yakima, WA
  • NPI 1578583399
  Care Compare affiliation
• Yakima Valley Memorial Hospital Association

  • Home Health Agency
  • Yakima, WA
  • NPI 1114964509
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1891703997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N 39TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026348",
            "telephone_number": "509-249-1288",
            "fax_number": "509-249-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N 39TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026348",
            "telephone_number": "509-249-1288",
            "fax_number": "509-249-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIOCCO",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00034907",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD00034907",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101831",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magnolia Heart Adult Family Home
• Precious Nokulunga Magutshwa
• Michelle Marie Mahan
• Dena Mahre, PAC
• Marion Maina, MD
• Maison Family Chiropractic Inc. PS
• Teresa Maison, PTA
• Anneliese Majsterek, RD, CDN, MPH, IBCLC
• Jennifer Maldonado
• Nichole Marie Maldonado, PMHNP-BC

• Family Medicine Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.

Verify at the official NPI Registry.