DR. MARK S. MASSIE, L.L.C.
NPI 1053591321
Podiatrist in Lakewood, OH

Active since November 05, 2007
15644 MADISON AVE, LAKEWOOD, OH 44107(216) 221-2445(216) 221-5891 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mark S. Massie, L.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK S. MASSIE, L.L.C. (NPI 1053591321) is a healthcare organization registered as a podiatrist in Lakewood, Ohio and active in the NPI registry since November 2007. The organization lists Mark S Massie, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1053591321
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameDR. MARK S. MASSIE, L.L.C.
Location Address15644 MADISON AVELakewood, OH 44107-5622
Mailing AddressPo Box 40450Bay Village, OH 44140-0450 · (440) 871-4700 · Fax (440) 871-4702
Fax(216) 221-5891
Organization SubpartNo
Authorized OfficialMark S MassiePodiatrist · (216) 221-2445
Enumeration DateNovember 5, 2007
Last NPPES UpdateAugust 27, 2009
✔ NPI 1053591321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in OH · 3074
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
15644 MADISON AVE, Lakewood, OH 44107

Other Identifiers 4

OtherDE5695OH · Medicare Railroad Group Pin Number
Medicaid2876351OH
Medicare PIN9360721OH
Medicare NSC5702110001OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark S. Massie, L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Mark S. Massie, L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1538110648
15644 MADISON AVE 106
Lakewood, OH 44107
(216) 221-2445
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Mark S. Massie, L.L.C.'s NPI number?

The NPI number for Dr. Mark S. Massie, L.L.C. is 1053591321. It was assigned to this organization in the NPPES registry on November 5, 2007.

Where is Dr. Mark S. Massie, L.L.C. located?

Dr. Mark S. Massie, L.L.C. is located at 15644 Madison Ave, Lakewood, OH 44107. The listed phone number is (216) 221-2445.

What is Dr. Mark S. Massie, L.L.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Dr. Mark S. Massie, L.L.C. enrolled in Medicare?

Yes. Dr. Mark S. Massie, L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Mark S. Massie, L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Dr. Mark S. Massie, L.L.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Mark S. Massie, L.L.C. was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.