Individual provider Active NPI

Mark Porway, MD

  • Cardiovascular Disease Physician
  • Northampton, MA
National Provider Identifier
1992765036
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
58063 Issued in MA
Practice address
22 Atwood Dr
Suite 301
Northampton, MA 01060-4272
Phone
(413) 570-4900
Fax
(413) 570-4196
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 58063 MA Primary

Addresses

Primary practice location

22 Atwood Dr
Suite 301
Northampton, MA 01060-4272

Mailing address

22 Atwood Dr
Suite 301
Northampton, MA 01060-4272
Phone (413) 570-4900

Other identifiers 13

IdentifierTypeStateIssuer
04-3476949OtherMAUNICARE/GIC
04-3476949OtherMACONSOLIDATED
04-3476949OtherMANORTH AMERICAN PREFERRED
04-3476949OtherMANORTHEAST HEALTH DIRECT
04-3476949OtherMAPLAN VISTA
110044797AMedicaidMA
04-3476949OtherMAHEALTH NEW ENGLAND
J06661OtherMABCBSMA
04-3476949OtherMANORTHEAST HEALTHCARE ALLI
15514OtherMAHEALTH NEW ENGLAND
3025365MedicaidMA
04-3476949OtherMAPHCS
058063OtherMATUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040323001159 MA Practitioner - Cardiovascular Disease (Cardiology) 5799676326 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58063MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooley Dickinson Hospital Inc CurrentSince Sep 1, 2008 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Sep 1, 2008 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Feb 1, 2015 Accepting new patients
Summit Medical Group PA Past Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients
Hospitalists Emo, LLC Past Accepting new patients
Hampden & Franklin County Cardiovascular Associates, PC Cardiovascular Disease PastSince Apr 1, 2020 Accepting new patients

Locations

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

10 Main St
Northampton, MA 01062
Phone (413) 341-9400

22 Atwood Dr
Ste 301
Northampton, MA 01060
Phone (413) 570-4900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFADA

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1992765036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ATWOOD DR",
            "address_2": "SUITE 301",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604272",
            "telephone_number": "413-570-4900",
            "fax_number": "413-570-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ATWOOD DR",
            "address_2": "SUITE 301",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604272",
            "telephone_number": "413-570-4900",
            "fax_number": "413-570-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORWAY",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "58063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE/GIC",
            "identifier": "04-3476949",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSOLIDATED",
            "identifier": "04-3476949",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICAN PREFERRED",
            "identifier": "04-3476949",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHEAST HEALTH DIRECT",
            "identifier": "04-3476949",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAN VISTA",
            "identifier": "04-3476949",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110044797A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "04-3476949",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "J06661",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHEAST HEALTHCARE ALLI",
            "identifier": "04-3476949",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "15514",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025365",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "04-3476949",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "058063",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.