DR. MARK W REDOR (M.D.) – Specialist, NPI 1013963594

DR. MARK W REDOR (M.D.) is a healthcare provider. based in Placerville, California. specializing in Specialist. They hold the professional credentials M.D.. They hold a License No. G56411 (CA). The NPI Number for DR. MARK W REDOR (M.D.) is 1013963594

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK W REDOR (M.D.)
NPI
1013963594
Phone
(530) 622-6430
Address
1006 MARSHALL WAY
Enumeration Date
26 May 2006
Last Update Date
27 May 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5306727040
Graduation Year
1984 (42 years ago)
PAC ID
7517946312
Group Practice PAC ID
7517875859
Professional Enrollment ID
I20040715000870
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARK W REDOR (M.D.)

  • 1006, Marshall Way, Placerville, El Dorado County, California, 95667, United States

    PLACERVILLE, CA 956675706

    Phone: (530) 622-6430

    Fax: (530) 622-3957

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95667)

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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: 7517875859View full group profile
NameSpecialtyState
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA
Orthopedic SurgeryCA
Internal MedicineCA
Family Practice, Addiction Medicine, Emergency Medicine, Preventive MedicineCA
G A S T R O E N T E R O L O G YCA
Nurse PractitionerCA
-CA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Can I cross-check DR. MARK W REDOR (M.D.) using NPI 1013963594?
NPI 1013963594 belongs to DR. MARK W REDOR (M.D.); compare other details if you need extra assurance.
Would DR. MARK W REDOR (M.D.) appear as active to a payer?
You can treat DR. MARK W REDOR (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. MARK W REDOR (M.D.)?
DR. MARK W REDOR (M.D.) is associated with Other Service Providers in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MARK W REDOR (M.D.)?
Directory geography for DR. MARK W REDOR (M.D.) centers on Placerville, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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