DR. MARK PETER MASTROMONACO MD
NPI 1659990059
Family Medicine in Saint Clair Shores, MI

Q: What is Mark Mastromonaco's NPI number?

The NPI number for Mark Mastromonaco is 1659990059. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Q: What is Mark Mastromonaco's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Mastromonaco was last updated on April 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment

21400 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081(586) 498-4400 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Mark Peter Mastromonaco Md NPPES

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

DR. MARK PETER MASTROMONACO MD (NPI 1659990059) is an individual family medicine provider in Saint Clair Shores, Michigan, licensed in Michigan (4351046408) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659990059

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK PETER MASTROMONACOCredential: MD

Location Address21400 E 11 MILE RDSaint Clair Shores, MI 48081-1566

Mailing Address468 Cadieux RdGrosse Pointe, MI 48230-1507

Phone(586) 498-4400

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 15, 2020

NPPES CertifiedApril 15, 2020

✔ NPI 1659990059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4351046408

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

21400 E 11 MILE RD, Saint Clair Shores, MI 48081

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Mark Peter Mastromonaco 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 ID3971925926

PECOS Enrollment IDI20250625002403

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

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 19

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

NABIL KAMAL RIZK M.D.

Family Medicine

21400 E 11 MILE RD
ST CLAIR SHORES, MI 48081

Macomb County (586) 498-4400

BEAUMONT PHARMACY AND HEALTH SERVICES INC

Pharmacy (Community/Retail Pharmacy)

21400 E 11 MILE RD
ST CLAIR SHORES, MI 48081

Macomb County (586) 498-4470

TABASSUM QURESHI MD

Family Medicine