1. Home
  2. Directory
  3. Massachusetts
  4. Springfield
  5. Specialist
  6. NPI Profile

DR. MARK A JACKOWITZ M.D.
NPI 1508851411
Specialist in Springfield, MA

Active since September 16, 2005PECOS Enrolled
75/100
CMS Quality Rating
3640 MAIN ST, SUITE 205, SPRINGFIELD, MA 01107(413) 739-7367(413) 737-2686 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark A Jackowitz M.d. NPPES

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

DR. MARK A JACKOWITZ M.D. (NPI 1508851411) is an individual specialist in Springfield, Massachusetts, licensed in Massachusetts (57126) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508851411
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MARK A JACKOWITZCredential: M.D.
Location Address3640 MAIN ST, SUITE 205Springfield, MA 01107-1145
Mailing Address3640 Main St, Suite 205Springfield, MA 01107-1145 · (413) 739-7367 · Fax (413) 737-2686
Phone(413) 739-7367
Fax(413) 737-2686
Sole ProprietorNo
Enumeration DateSeptember 16, 2005
Last NPPES UpdateMay 23, 2014
✔ NPI 1508851411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MA · 57126
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3640 MAIN ST, Springfield, MA 01107
Open in Google Maps ↗

Other Identifiers 12

Other010057126MA01MA · Connecticut Blue Shield
Other13334MA · Health New England
Medicare PINJ06214MA
Other150664MA · Harvard Pilgrim
Other0115328MA · Aetna Group No.
Other0804490MA · United Health Care
Other180012328MA · Railroad Medicare
OtherP1500300MA · Oxford Health Plans
OtherJ06214MA · Mass Blue Shield
Medicare UPINA58922MA
Other0034216003MA · Cigna
Other032587MA · Connecticare

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 A Jackowitz M.d. 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

VALLEY MEDICAL ASSOCIATES, PC
Internal Medicine
3640 MAIN ST, SUITE 207
SPRINGFIELD, MA 01107
Hampden County (413) 739-0669
MARIANNE E LANGLOIS PA-C
Physician Assistant
3640 MAIN ST, SUITE 302
SPRINGFIELD, MA 01107
Hampden County (413) 732-4242
DR. RONALD J GAILUN MD
Ophthalmology
3640 MAIN ST, STE 201
SPRINGFIELD, MA 01107
Hampden County (413) 732-2333
DR. JASON L. PORT M.D.
Radiology (Neuroradiology)
3640 MAIN ST, SUITE 101
SPRINGFIELD, MA 01107
Hampden County (413) 781-9000
K. FRANCIS LEE, M.D., P.C.
Surgery
3640 MAIN ST, SUITE 302
SPRINGFIELD, MA 01107
Hampden County (413) 732-4242
DR. GREGORY J FAUST M.D.
Specialist
3640 MAIN ST, SUITE 205
SPRINGFIELD, MA 01107
Hampden County (413) 739-7367
PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C.
Pediatrics (Pediatric Gastroenterology)
3640 MAIN ST, SUITE 204
SPRINGFIELD, MA 01107
Hampden County (413) 304-2650
DR. DAVID DIRAN AGAHIGIAN M.D.
Ophthalmology
3640 MAIN ST, SUITE 201
SPRINGFIELD, MA 01107
Hampden County (413) 732-2333

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 Jackowitz's NPI number?

The NPI number for Mark Jackowitz is 1508851411. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Mark Jackowitz located?

Mark Jackowitz practices at 3640 Main St Suite 205, Springfield, MA 01107. The listed phone number is (413) 739-7367.

What is Mark Jackowitz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Jackowitz enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Jackowitz was last updated on May 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.