MARK WILLIAM MEMOLO MD NPI 1386627115

NPI Information

  • NPI: 1386627115
  • Provider Name: MARK WILLIAM MEMOLO, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 620 SUMMIT CROSSING PL
    STE 106
    GASTONIA, NC
    ZIP 28054
  • Phone: (704) 867-8021

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NPI Details

Mark William Memolo, MD is a diagnostic radiology radiology in Gastonia, NC with 39 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mark William Memolo, MD NPI is 1386627115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:1987

The provider's business location address is:

620 SUMMIT CROSSING PL
STE 106
GASTONIA, NC
ZIP 28054
Phone: (704) 867-8021
Fax: (704) 864-4606

The NPI 1386627115 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 (HCPCS:71045)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of abdominal aorta and both leg arteries with contrast (HCPCS:75635)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Mri scan of abdomen without contrast (HCPCS:74181)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)

The enumeration date for this NPI number is 11/25/2005 and was last updated on 8/23/2010.

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
12085R0204XRadiologyVascular & Interventional Radiology33274NORTH CAROLINANo
22085R0202XRadiologyDiagnostic Radiology33274NORTH CAROLINAYes

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
11642996OTHERUNITED HEALTHCARE
2300061402OTHERRAILROAD MEDICARE
3E81247MEDICARE UPIN
4N33274MEDICAIDSOUTH CAROLINA
58958609MEDICAIDNORTH CAROLINA
612402OTHERPARTNERS
7213214CMEDICARE ID-TYPE UNSPECIFIED
84630736OTHERAETNA PPO
92353109OTHERAETNA HMO
1073411OTHERMEDCOST
1158609OTHERBLUE CROSS BLUE SHIELD

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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