DR. MARK JOEL ILLUMINATI MD
NPI 1518077320
General Practice in Baltimore, MD
About Dr. Mark Joel Illuminati Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK JOEL ILLUMINATI MD (NPI 1518077320) is an individual general practice provider in Baltimore, Maryland, licensed in Maryland (D35832) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Joel Illuminati Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Illuminati reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nottingham, MD 21236
- Reassigned Medicare billing, Maryland enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Illuminati's NPI number?
The NPI number for Mark Illuminati is 1518077320. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Mark Illuminati located?
Mark Illuminati practices at 1212 Shore Rd, Baltimore, MD 21220. The listed phone number is (410) 780-3972.
What is Mark Illuminati's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Mark Illuminati enrolled in Medicare?
Yes. Mark Illuminati is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Illuminati's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Illuminati reassigns Medicare benefits to Hope's Horizon LLC (Nottingham, MD). 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 Illuminati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mark Illuminati was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Mark Joel Illuminati, MD · NPI 1518077320
General Practice physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1518077320 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** D35832 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1212 SHORE RD, Baltimore, MD 21220-5526
- **Phone:** (410) 780-3972
## 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:** Hope's Horizon LLC (NPI 1811361439, Nottingham, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1518077320) · Data from the CMS NPPES public registry.