DR. MARK HATHAWAY MD
NPI 1720068133
Obstetrics & Gynecology in Washington, DC

Active since January 20, 2006PECOS Enrolled
1225 4TH ST NE, WASHINGTON, DC 20002(202) 347-8512 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Hathaway Md NPPES

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

DR. MARK HATHAWAY MD (NPI 1720068133) is an individual obstetrics & gynecology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD21559) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Montgomery Village.

NPPES Registry Identity

NPI1720068133
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARK HATHAWAYCredential: MD
Location Address1225 4TH ST NEWashington, DC 20002-3431
Mailing Address1225 4th St NeWashington, DC 20002-3431 · (202) 347-8512
Sole ProprietorNo
Enumeration DateJanuary 20, 2006
Last NPPES UpdateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
NPI 1720068133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in DC · MD21559 Licensed in MD · D0052934
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1225 4TH ST NE, Washington, DC 20002

Secondary Practice Location 1

Location 119650 Club House Rd # 101Montgomery Village, MD 20886-3003 · Phone (301) 208-1300

Other Identifiers 2

Medicaid025687900DC
Medicaid759210800DC

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 Hathaway 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20002 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 20

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

Family Medicine
1225 4TH ST NE
WASHINGTON, DC 20002
Specialist
1225 4TH ST NE
WASHINGTON, DC 20002
Nurse Practitioner (Family)
1225 4TH ST NE
WASHINGTON, DC 20002
Nurse Practitioner (Women's Health)
1225 4TH ST NE
WASHINGTON, DC 20002
Family Medicine
1225 4TH ST NE
WASHINGTON, DC 20002
Nurse Practitioner (Family)
1225 4TH ST NE
WASHINGTON, DC 20002
Family Medicine
1225 4TH ST NE
WASHINGTON, DC 20002
Nurse Practitioner (Women's Health)
1225 4TH ST NE
WASHINGTON, DC 20002

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 Hathaway's NPI number?

The NPI number for Mark Hathaway is 1720068133. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Mark Hathaway located?

Mark Hathaway practices at 1225 4th St NE, Washington, DC 20002. The listed phone number is (202) 347-8512.

What is Mark Hathaway's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mark Hathaway enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Hathaway was last updated on March 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.