DR. MARK ANTHONY WENDOLOWSKI (MD) – Family Medicine Physician, NPI 1396206371

DR. MARK ANTHONY WENDOLOWSKI (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 41411 (AL). The NPI Number for DR. MARK ANTHONY WENDOLOWSKI (MD) is 1396206371

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK ANTHONY WENDOLOWSKI (MD)
NPI
1396206371
Phone
(256) 539-0505
Address
625 19TH ST S
Enumeration Date
30 March 2019
Last Update Date
4 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562339292
Graduation Year
2019 (7 years ago)
PAC ID
9133461940
Group Practice PAC ID
6204084502
Professional Enrollment ID
I20221201002786
Address ID
AL356112457AT700XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

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Provider Addresses for DR. MARK ANTHONY WENDOLOWSKI (MD)

  • 625, 19th Street South, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352331900

    Phone: (256) 539-0505

    Type: Mailing

  • 25 Vocational Dr SW

    Rome, GA 301616795

    Phone: (678) 790-4262

    Type: Location

  • 625 19th St S

    Birmingham, AL 352331900

    Phone: (256) 539-0505

    Type: Location

  • 202 COUNT FLEET CT

    MADISON, AL 357564296

    Phone: (670) 790-4262

    Type: Mailing

  • 294 SUMMAR DR

    JACKSON, TN 383013915

    Phone: (731) 423-1931

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220808000380IFamily PracticeTNTBD
I20221201002786IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making265262$0
99284Emergency department visit with moderate level of medical decision making120116$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only10699$0
99291Critical care, first 30-74 minutes8989$0
87804Detection test by immunoassay with direct visual observation for influenza virus2412$0
View full utilization report →

Insurance plans in this area (ZIP 35233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204084502View full group profile
NameSpecialtyState
Nurse PractitionerAL
Emergency MedicineAL
Emergency MedicineFL
General Practice, Emergency MedicineLA
Emergency MedicineAL
Family PracticeAL
Nurse PractitionerTN
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What NPI should I save for DR. MARK ANTHONY WENDOLOWSKI (MD)?
Save NPI 1396206371 if you need a stable reference for DR. MARK ANTHONY WENDOLOWSKI (MD).
Does this profile mean DR. MARK ANTHONY WENDOLOWSKI (MD) is currently active?
Yes — DR. MARK ANTHONY WENDOLOWSKI (MD) appears active in the national provider directory.
What kind of provider is DR. MARK ANTHONY WENDOLOWSKI (MD)?
The page reflects Family Medicine Physician for DR. MARK ANTHONY WENDOLOWSKI (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. MARK ANTHONY WENDOLOWSKI (MD)?
The snapshot lists Birmingham, Alabama for DR. MARK ANTHONY WENDOLOWSKI (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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