Individual provider Active NPI

Mark Mashni

  • Foot & Ankle Surgery Podiatrist
  • Lewisville, TX
National Provider Identifier
1902367543
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3148 Issued in TX
Practice address
502 N Valley Pkwy Ste 2
Lewisville, TX 75067-3437
Phone
(972) 316-0902
Fax
(972) 316-1161
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1113 MA
Foot & Ankle Surgery Podiatrist 213ES0103X 3148 TX Primary

Addresses

Primary practice location

502 N Valley Pkwy Ste 2
Lewisville, TX 75067-3437

Mailing address

502 N Valley Pkwy Ste 2
Lewisville, TX 75067-3437
Phone (972) 316-0902

Other practice location 1

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 779-6512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220804000284 TX Practitioner - Podiatry 0749662906 Reassigns benefits to 1 organization
I20240715003678 KY Practitioner - Podiatry 0749662906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500

245 Flemingsburg Rd
Morehead, KY 40351-1015
Phone (606) 780-5500

555 W Sun St
Morehead, KY 40351-1563
Phone (606) 783-6805

Hospital & facility affiliations

  • St Claire Medical Center Home Health Home health agency, Morehead, KY, CCN 187037
  • St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018

Merit-based Incentive Payment System (MIPS)

Final score
73.64 of 100Reported as group
Quality
56.63
Improvement activities
40
Cost
74.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue73
Removal of nail tissue45
Removal or shaving of skin growth22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3148TXMDBehavioral Analyst
1113MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Surgery and Wound Care Physicians Foot & Ankle Surgery CurrentSince Aug 1, 2022 Accepting new patients
St Claire Medical Center, Inc CurrentSince Jul 1, 2024 Accepting new patients
St Claire Medical Center, Inc., Current Accepting new patients
St Claire Medical Center, Inc Foot & Ankle Surgery CurrentSince Jul 1, 2024 Accepting new patients
Sprocket Medical Management LLC Past Accepting new patients

Locations

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

502 N Valley Pkwy
#2
Lewisville, TX 75067
Phone (972) 316-0902

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1902367543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N VALLEY PKWY STE 2",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673437",
            "telephone_number": "972-316-0902",
            "fax_number": "972-316-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N VALLEY PKWY STE 2",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673437",
            "telephone_number": "972-316-0902",
            "fax_number": "972-316-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021352907",
            "country_code": "US",
            "telephone_number": "617-779-6512",
            "fax_number": "617-779-6468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASHNI",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1113",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.