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DR. MARK GERARD RADOMILE DMD
NPI 1881720704
Dentist - General Practice in Drexel Hill, PA

Active since February 26, 2007PECOS Enrolled
4207 STATE RD, DREXEL HILL, PA 19026(610) 789-4066(610) 789-8507 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Gerard Radomile Dmd NPPES

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

DR. MARK GERARD RADOMILE DMD (NPI 1881720704) is an individual general practice provider in Drexel Hill, Pennsylvania, licensed in Pennsylvania (DS024123L) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881720704
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK GERARD RADOMILECredential: DMD
Location Address4207 STATE RDDrexel Hill, PA 19026-3321
Mailing Address4207 State RdDrexel Hill, PA 19026-3321 · (610) 789-4066 · Fax (610) 789-8507
Phone(610) 789-4066
Fax(610) 789-8507
Sole ProprietorNo
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1881720704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS024123L
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4207 STATE RD, Drexel Hill, PA 19026
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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 Gerard Radomile Dmd 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 19026 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 4

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

DR. JOHN JAMES RADOMILE JR. DDS,FAGD
Dentist (General Practice)
4207 STATE RD
DREXEL HILL, PA 19026
Delaware County (610) 789-4066
DENTAL STUDIO OF DREXEL HILL
Dentist (General Practice)
4207 STATE RD
DREXEL HILL, PA 19026
Delaware County (610) 789-4066
TANVI SHYAMSUNDAR PANGAM
Dentist (General Practice)
4207 STATE RD
DREXEL HILL, PA 19026
Delaware County (610) 580-2094
JOHN J. RADOMILE AND MARK G. RADOMILE PTR
Dentist (General Practice)
4207 STATE RD
DREXEL HILL, PA 19026
Delaware County (610) 789-4066

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 Radomile's NPI number?

The NPI number for Mark Radomile is 1881720704. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Mark Radomile located?

Mark Radomile practices at 4207 State Rd, Drexel Hill, PA 19026. The listed phone number is (610) 789-4066.

What is Mark Radomile's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Radomile enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Radomile 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.