Individual provider Active NPI

Mark A McConn, MD

  • Family Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1952361354
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME84294 Issued in FL
Practice address
218 Royal Palm Way
West Palm Beach, FL 33432
Phone
(561) 340-5780
Fax
(561) 340-5788
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 ME84294 FL Primary

Addresses

Primary practice location

218 Royal Palm Way
West Palm Beach, FL 33432

Mailing address

218 Royal Palm Way
West Palm Beach, FL 33480

Other identifiers 1

IdentifierTypeStateIssuer
02414359MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20100226000194 NY Practitioner - Family Practice 8527154574
I20220120001005 FL Practitioner - Family Practice 8527154574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1400 NW 14TH St
University of Miami Hospital
Miami, FL 33136-1534
Phone (305) 585-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME84294FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
University of Miami CurrentSince Nov 1, 2021 Accepting new patients
Biby Rajan-George M.D PLLC PastSince Oct 10, 2021 Accepting new patients
University of Miami PastSince Mar 12, 2023 Accepting new patients
University of Miami Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

218 Royal Palm Way
Palm Beach, FL 33480
Phone (305) 243-2327

Interoperability endpoints

  • Direct secure messaging: mark.mcconn.1@13034.direct.athenahealth.com
  • Direct secure messaging: mmcconn94667@direct.med.miami.edu
  • Direct secure messaging: mmcconn@hiemail.healtheconnections.org

Organizations & group practices 6

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 1

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1952361354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 ROYAL PALM WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 ROYAL PALM WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33432",
            "telephone_number": "561-340-5780",
            "fax_number": "561-340-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONN",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME84294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02414359",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.