DR. MARK STEVEN GOTTLIEB D.O.
NPI 1174843643
Family Medicine in Richmond, VA
About Dr. Mark Steven Gottlieb D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK STEVEN GOTTLIEB D.O. (NPI 1174843643) is an individual family medicine provider in Richmond, Virginia, licensed in Utah (14197633-1204) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and maintains a secondary practice location in Sandy.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mark Steven Gottlieb D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Gottlieb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami Gardens, FL 33169
- Reassigned Medicare billing, Virginia enrollment
- 100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Intermountain Medical Center
Acute Care Hospitals · Murray, UTIntermountain Health Alta View Hospital
Acute Care Hospitals · Sandy, UTSt Mark's Hospital
Acute Care Hospitals · Salt Lake City, UTRiverton Hospital
Acute Care Hospitals · Riverton, UTLone Peak Hospital
Acute Care Hospitals · Draper, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gottlieb's NPI number?
The NPI number for Mark Gottlieb is 1174843643. It was assigned to this individual provider in the NPPES registry on June 8, 2010.
Where is Mark Gottlieb located?
Mark Gottlieb practices at 1712 E Broad St, Richmond, VA 23223. The listed phone number is (804) 344-9848.
What is Mark Gottlieb's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Gottlieb enrolled in Medicare?
Yes. Mark Gottlieb is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Gottlieb's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Gottlieb reassigns Medicare benefits to Pmr Virginia Holding, LLC (Miami Gardens, FL). The 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 Mark Gottlieb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Gottlieb accept?
Health plans from Select Health list Mark Gottlieb as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mark Gottlieb affiliated with any hospitals?
According to CMS data, Mark Gottlieb is affiliated with Intermountain Medical Center, Intermountain Health Alta View Hospital, St Mark's Hospital, Riverton Hospital and Lone Peak Hospital.
When was this NPI record last updated?
The NPPES record for Mark Gottlieb was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Dr. Mark Steven Gottlieb, D.O. · NPI 1174843643
Family Medicine physician in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since June 8, 2010.
## Identity
- **NPI:** 1174843643 (Entity type: Individual)
- **Enumerated:** June 8, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 14197633-1204 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1712 E BROAD ST, Richmond, VA 23223-6930
- **Phone:** (804) 344-9848
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pmr Virginia Holding, LLC (NPI 1083167001, Miami Gardens, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174843643) · Data from the CMS NPPES public registry.