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MARK NEWMAN PEDERSON M.D. NPI 1063457034


NPI Information

NPI: 1063457034
Provider Name: MARK NEWMAN PEDERSON, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: COUNTY OF SAN MATEO

PECOS Registration: Yes

Address:
1783 EL CAMINO REAL
BURLINGAME, CA
ZIP 94010
Phone: (650) 696-5515
Get Directions

Mark Newman Pederson, M.D. is a diagnostic radiology radiology in Burlingame, CA with 52 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mark Newman Pederson, M.D. NPI is 1063457034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:1972

The provider's business location address is:

1783 EL CAMINO REAL
BURLINGAME, CA
ZIP 94010-205
Phone: (650) 696-5515

The NPI 1063457034 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of abdomen, single view (HCPCS:74000)
  • X-ray of knee, 4 or more views (HCPCS:73564)

The enumeration date for this NPI number is 6/16/2006 and was last updated on 2/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyG33814CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G338144MEDICARE PINCALIFORNIA
200G338140MEDICAIDCALIFORNIA
300G338140MEDICARE PINCALIFORNIA
400G338142MEDICARE PINCALIFORNIA
5A5688MEDICARE UPINCALIFORNIA
600G338145MEDICARE PINCALIFORNIA
7300121863OTHERCALIFORNIARAILROAD MEDICARE
800G338143MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.