NPIMap

Individual provider Active NPI

Andrew Mark, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1992152342
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
T6636 Issued in TX
Practice address
6720 Bertner Ave Ste Mc2770
Houston, TX 77030-2604
Phone
(512) 956-5229
NPI assigned
May 16, 2016
Last updated
May 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X T6636 TX Primary

Addresses

Primary practice location

6720 Bertner Ave Ste Mc2770
Houston, TX 77030-2604

Mailing address

122554 Riata Vista Circle
Austin, TX 78727-2611
Phone (512) 956-5229

Other practice location 1

7026 Old Katy Rd Ste 276
Houston, TX 77024-2187
Phone (512) 956-5229

Other identifiers 1

IdentifierTypeStateIssuer
1992152342MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220829000060 TX Practitioner - Diagnostic Radiology 0547530578 Reassigns benefits to 5 organizations
I20260616001730 AZ Practitioner - Diagnostic Radiology 0547530578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montrose Memorial Hospital, IncGroup PAC ID 1658272992, 148 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians

Practice addresses (Care Compare)

Fredericksburg, TX 78624
Phone (817) 689-3573

16203 Charolais Dr
Cypress, TX 77429-1603
Phone (832) 915-2534

5011 Braesheather Dr
Houston, TX 77096-4204
Phone (832) 915-2534

6720 Bertner Ave
MC2 270
Houston, TX 77030-2604
Phone (281) 466-4401

8010 Ivan Reid Dr
Houston, TX 77040-2556
Phone (405) 923-1296

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T6636TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Montrose Memorial Hospital, Inc Diagnostic Radiology CurrentSince Dec 4, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince May 14, 2022 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince May 16, 2025 Accepting new patients
Synergy Radiology Associates PLLC CurrentSince Aug 1, 2022 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5171 W Olive Ave
Glendale, AZ 85302
Phone (480) 732-7540

8310 W Camelback Rd
Glendale, AZ 85305
Phone (480) 307-9610

251 N Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 322-6900

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

7026 Old Katy Rd
Ste 276
Houston, TX 77024
Phone (713) 358-0562

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 7

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.

Hospital & facility affiliations 11

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1992152342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122554 RIATA VISTA CIRCLE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787272611",
            "telephone_number": "512-956-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 BERTNER AVE STE MC2770",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "512-956-5229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7026 Old Katy Rd Ste 276",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242187",
            "country_code": "US",
            "telephone_number": "512-956-5229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARK",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2023-05-09",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T6636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992152342",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.