MARK S GIRGUIS MD
NPI 1477591154
Radiology - Diagnostic Radiology in Tarpon Springs, FL

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
40946 US HIGHWAY 19 N # 101, TARPON SPRINGS, FL 34689(813) 720-7237(888) 366-6013 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2024, Aug 31, 2023, Nov 19, 2015 (3 updates tracked since 2015).

About Mark S Girguis Md NPPES

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

MARK S GIRGUIS MD (NPI 1477591154) is an individual diagnostic radiology provider in Tarpon Springs, Florida, licensed in California (A82528) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with West Suburban Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1477591154
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK S GIRGUISCredential: MD
Location Address40946 US HIGHWAY 19 N # 101Tarpon Springs, FL 34689-5446
Mailing Address40946 Us Highway 19 N # 101Tarpon Springs, FL 34689-5446 · (813) 720-7237 · Fax (888) 366-6013
Fax(888) 366-6013
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2001
Enumeration DateJune 3, 2006
Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
NPI 1477591154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in CA · A82528 Licensed in FL · ME112607 Licensed in IL · 036166384 Licensed in MD · D79826
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
40946 US HIGHWAY 19 N # 101, Tarpon Springs, FL 34689

Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (312) 355-4000

Other Identifiers 1

Medicaid00A825280CA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark S Girguis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850303165
PECOS Enrollment IDI20060630000212, I20130219000098, I20230914004167
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.

Areas of Expertise CMS Part B claims 40

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
6,879 services77 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
247 services226 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
144 services140 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
140 services109 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
75 services75 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
70 services65 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Suburban Medical Center

Acute Care Hospitals · Oak Park, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140049
Location3 Erie CourtOak Park, IL 60302 · Cook County
Birthing friendly

Saint Anthony Hospital

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140095
Location2875 West 19th StreetChicago, IL 60623 · Cook County
Emergency services Birthing friendly

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34689 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Radiology (Diagnostic Radiology)
40946 US HIGHWAY 19 N # 101
TARPON SPRINGS, FL 34689

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 Girguis's NPI number?

The NPI number for Mark Girguis is 1477591154. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Mark Girguis located?

Mark Girguis practices at 40946 Us Highway 19 N # 101, Tarpon Springs, FL 34689. The listed phone number is (813) 720-7237.

What is Mark Girguis's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Girguis enrolled in Medicare?

Yes. Mark Girguis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Girguis accept?

Health plans from Molina Healthcare and Oscar Health Maintenance Organization of Florida list Mark Girguis 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 Girguis affiliated with any hospitals?

According to CMS data, Mark Girguis is affiliated with West Suburban Medical Center, Saint Anthony Hospital and John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Mark Girguis was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.