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MARK K NAGRANI MD PLLC
NPI 1154027852
Family Medicine in New Smyrna Beach, FL

Active since February 03, 2023CLIA 10D2115203 · Certificate of Compliance
612 PALMETTO ST, NEW SMYRNA BEACH, FL 32168(386) 423-5500(800) 813-9164 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark K Nagrani Md Pllc NPPES

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

MARK K NAGRANI MD PLLC (NPI 1154027852) is a healthcare organization registered as a family medicine in New Smyrna Beach, Florida and active in the NPI registry since February 2023. The organization holds a CLIA Certificate of Compliance certificate valid through September 15, 2028 and lists Hart Meyrich, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1154027852
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARK K NAGRANI MD PLLC
Location Address612 PALMETTO STNew Smyrna Beach, FL 32168-7327
Mailing Address612 Palmetto StNew Smyrna Beach, FL 32168-7327 · (386) 423-5500 · Fax (800) 813-9164
Phone(386) 423-5500
Fax(800) 813-9164
Organization SubpartNo
Authorized OfficialHart MeyrichBusiness Manager · (407) 340-9039
Enumeration DateFebruary 3, 2023
NPPES CertifiedFebruary 3, 2023
✔ NPI 1154027852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
612 PALMETTO ST, New Smyrna Beach, FL 32168
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Mark K Nagrani Md Pllc 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 Mark K Nagrani MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Nagrani
Family Practice
NPI 1881154524
612 PALMETTO ST
New Smyrna Beach, FL 32168
(386) 423-5500
✔ 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2115203

Mark Nagrani MD Inc · New Smyrna Beach, FL
Active · expires Sep 15, 2028
CLIA Number10D2115203
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2026
Certificate Expiration DateSeptember 15, 2028
Laboratory DirectorJohn P. Williams
Laboratory Phone(386) 423-5500
Laboratory LocationMark Nagrani MD Inc612 Palmetto Street Suite A, New Smyrna Beach, FL 32168
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 K Nagrani MD PLLC's NPI number?

The NPI number for Mark K Nagrani MD PLLC is 1154027852. It was assigned to this organization in the NPPES registry on February 3, 2023.

Where is Mark K Nagrani MD PLLC located?

Mark K Nagrani MD PLLC is located at 612 Palmetto St, New Smyrna Beach, FL 32168. The listed phone number is (386) 423-5500.

What is Mark K Nagrani MD PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark K Nagrani MD PLLC enrolled in Medicare?

Yes. Mark K Nagrani MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark K Nagrani MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mark K Nagrani MD PLLC. 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.

Does Mark K Nagrani MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2115203) is associated with this NPI, valid through September 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mark K Nagrani MD PLLC was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.