Individual provider Active NPI

Mark Gerard Byrne, M.D.

  • Interventional Cardiology Physician
  • Watsonville, CA
National Provider Identifier
1962411272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G74388 Issued in CA
Practice address
30 Brennan St
Watsonville, CA 95076-4303
Phone
(831) 768-0220
Fax
(831) 722-1702
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X G74388 CA Primary

Addresses

Primary practice location

30 Brennan St
Watsonville, CA 95076-4303

Mailing address

30 Brennan St
Watsonville, CA 95076-4303
Phone (831) 768-0220

Other identifiers 1

IdentifierTypeStateIssuer
00G743880MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20110712000540 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0244142800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Illinois Medical College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brennan Medical CorporationGroup PAC ID 8224206545, 2 clinicians

Practice addresses (Care Compare)

30 Brennan St
Watsonville, CA 95076-4303
Phone (831) 768-0220

Hospital & facility affiliations

  • Bridge Home Health Home health agency, Salinas, CA, CCN 559775
  • Prohealth Home Care, Inc Home health agency, San Jose, CA, CCN 058415
  • Care Must Home health agency, San Jose, CA, CCN 059796
  • Choice Home Health Care Home health agency, Monterey, CA, CCN 557461
  • Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194
  • Watsonville Post Acute Center Nursing home, Watsonville, CA, CCN 055959

Merit-based Incentive Payment System (MIPS)

Final score
89.26 of 100Reported as group
Quality
71.43
Improvement activities
40
Cost
77.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74388CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brennan Medical Corporation CurrentSince Jan 1, 2011 Accepting new patients

Locations

30 Brennan St
Watsonville, CA 95076
Phone (831) 768-0220

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 6

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962411272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BRENNAN ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764303",
            "telephone_number": "831-768-0220",
            "fax_number": "831-722-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BRENNAN ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764303",
            "telephone_number": "831-768-0220",
            "fax_number": "831-722-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "MARK",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G74388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G743880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.