Mark Edward Collins, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35062911C Issued in OH

Practice address

4590 W 121St Ave
Broomfield, CO 80020-5666

Phone

(303) 439-4544

Fax

(303) 439-9369

NPI assigned

Oct 4, 2005

Last updated

Dec 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Merit-based Incentive Payment System (MIPS)

Final score

86.16 of 100Reported as group

Quality

79.15

Promoting interoperability

100

Improvement activities

40

Cost

74.72

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohiohealth Urgent Care LLC

  • Urgent Care Clinic/Center
  • Dublin, OH
  • NPI 1811207160
  Medicare reassignment
• Colorado Urgent Care PLLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Aurora, CO
  • NPI 1255949681
  NPD (past)
• Access Urgent Medical Care of Upper Arlington Inc

  • Urgent Care Clinic/Center
  • Upper Arlington, OH
  • NPI 1124017025
  NPD (past)
• Dublin Urgent Care Inc

  dba America's Urgent Care of Dublin

  • Urgent Care Clinic/Center
  • Dublin, OH
  • NPI 1053308148
  NPD (past)
• Mary Rutan Hospital

  dba Mad River Family Practice

  • Family Medicine Physician
  • West Liberty, OH
  • NPI 1003875949
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1982691945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 TABLE MESA DR APT B116",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055833",
            "telephone_number": "614-302-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 W 121ST AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205666",
            "telephone_number": "303-439-4544",
            "fax_number": "303-439-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35062911C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcollins51368@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "6905 Hospital Dr",
            "address_2": "Ste 130",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430169600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Cohen
• Cmaureen Cole, PSYD, PHD
• Rachel Cole
• Kira Collins
• Lindsay Danielle Collins, AU.D.
• Paul W Collop, LPCC
• Colorado Allergy and Asthma Centers, PC
• Colorado Dental Professionals, LLC (Zang Street Dental Care)
• Colorado Eye Center, LLC (Great Vision Eye Care)
• Colorado Gum Care

• Emergency Medicine Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.