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DR. MARK CHRYSOSTOM DOUGHERTY MD
NPI 1265925234
Student in an Organized Health Care Education/Training Program in Iowa City, IA

Active since June 13, 2018PECOS Enrolled
200 HAWKINS DR DEPT OF, IOWA CITY, IA 52242(319) 356-2237 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2025, Jun 13, 2018 (2 updates tracked since 2018).

About Dr. Mark Chrysostom Dougherty Md NPPES

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

DR. MARK CHRYSOSTOM DOUGHERTY MD (NPI 1265925234) is an individual student in an organized health care education/training program in Iowa City, Iowa and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265925234
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MARK CHRYSOSTOM DOUGHERTYCredential: MD
Location Address200 HAWKINS DR DEPT OFIowa City, IA 52242-1009
Mailing Address200 Hawkins Dr Dept OfIowa City, IA 52242-1009
Phone(319) 356-2237
Sole ProprietorNo
Enumeration DateJune 13, 2018
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1265925234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedNeurological SurgeryTaxonomy 207T00000X · License R-11336 (IA)
200 HAWKINS DR DEPT OF, Iowa City, IA 52242
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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 Chrysostom Dougherty 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWARD ALEXANDER REKART MD
Emergency Medicine
200 HAWKINS DR DEPT OF
IOWA CITY, IA 52242
Johnson County (319) 356-1616
HANI ASSOUM M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
200 HAWKINS DR DEPT OF, 01017 JPP
IOWA CITY, IA 52242
Johnson County (319) 353-6883
CASEY EDWARDS MD
Anesthesiology
200 HAWKINS DR DEPT OF
IOWA CITY, IA 52242
Johnson County (319) 356-2210
HASHIM SULTAN CHAUDHRY
Internal Medicine
200 HAWKINS DR DEPT OF
IOWA CITY, IA 52242
Johnson County (319) 384-7788
MEGAN KAVANAUGH
Pediatrics
200 HAWKINS DR DEPT OF
IOWA CITY, IA 52242
Johnson County (319) 384-7888
DR. MICHAEL CHRISTIAN MARINIER MD
Orthopaedic Surgery
200 HAWKINS DR DEPT OF
IOWA CITY, IA 52242
Johnson County (815) 999-2852
DR. ROBERT PEDERSEN MD
Emergency Medicine
200 HAWKINS DR DEPT OF
IOWA CITY, IA 52242
Johnson County (319) 356-2233
HYUN SU KIM
Anesthesiology
200 HAWKINS DR DEPT OF
IOWA CITY, IA 52242
Johnson County (319) 356-2210

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 Dougherty's NPI number?

The NPI number for Mark Dougherty is 1265925234. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Mark Dougherty located?

Mark Dougherty practices at 200 Hawkins Dr Dept Of, Iowa City, IA 52242. The listed phone number is (319) 356-2237.

What is Mark Dougherty'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 Dougherty enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Dougherty was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.