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DR. MARK NICHOLAS PERNIK MD
NPI 1083358717
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since April 27, 2022PECOS Enrolled
920 MADISON AVE STE 477, MEMPHIS, TN 38103(901) 448-5364(901) 448-6182 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Nicholas Pernik Md NPPES

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

DR. MARK NICHOLAS PERNIK MD (NPI 1083358717) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083358717
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MARK NICHOLAS PERNIKCredential: MD
Location Address920 MADISON AVE STE 477Memphis, TN 38103-3438
Mailing Address920 Madison Ave Ste 477Memphis, TN 38103-3438 · (901) 448-5364 · Fax (901) 448-6182
Phone(901) 448-5364
Fax(901) 448-6182
Sole ProprietorNo
Enumeration DateApril 27, 2022
NPPES CertifiedApril 27, 2022
✔ NPI 1083358717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
920 MADISON AVE STE 477, Memphis, TN 38103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Nicholas Pernik Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Mark Pernik's NPI number?

The NPI number for Mark Pernik is 1083358717. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Where is Mark Pernik located?

Mark Pernik practices at 920 Madison Ave Ste 477, Memphis, TN 38103. The listed phone number is (901) 448-5364.

What is Mark Pernik's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mark Pernik enrolled in Medicare?

Yes. Mark Pernik is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Pernik was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.