DR. MARK A. MONACO D.O. NPI 1164434874

NPI Information

  • NPI: 1164434874
  • Provider Name: DR. MARK A. MONACO, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2000 SPROUL RD SUITE 100
    MARPLE COMMONS
    BROOMALL, PA
    ZIP 19008
  • Phone: (610) 353-3500

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NPI Details

DR. Mark A. Monaco, D.O. is a family medicine in Broomall, PA with 37 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mark A. Monaco, D.O. NPI is 1164434874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1989

The provider's business location address is:

2000 SPROUL RD SUITE 100
MARPLE COMMONS
BROOMALL, PA
ZIP 19008-424
Phone: (610) 353-3500
Fax: (610) 353-2015

The NPI 1164434874 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report (HCPCS:G0403)

The enumeration date for this NPI number is 8/12/2006 and was last updated on 5/27/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOS-007200-LPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OS-007200-LOTHERPENNSYLVANIASTATE LICENSE NUMBER
2118066OTHERPENNSYLVANIAAETNA
30014669940006MEDICAIDPENNSYLVANIA
4P663879OTHERPENNSYLVANIAOXFORD
5079135OTHERPENNSYLVANIAPA BLUE SHIELD
6112678OTHERPENNSYLVANIACOVENTRY
730025953OTHERPENNSYLVANIAKEYSTONE MERCY
8010056677OTHERPENNSYLVANIAMEDICARE RR
90222047000OTHERPENNSYLVANIAKEYSTONE
100222047000OTHERPENNSYLVANIAIBC PRODUCTS
11F36747MEDICARE UPINPENNSYLVANIA
12079135FWWMEDICARE PINPENNSYLVANIA

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: 11/21/2025

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