MARK J HOGAN (MD) – Vascular & Interventional Radiology Physician, NPI 1104865468

MARK J HOGAN (MD) is a healthcare provider. based in Westerville, Ohio. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 35062100 (OH). The NPI Number for MARK J HOGAN (MD) is 1104865468

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
MARK J HOGAN (MD)
NPI
1104865468
Phone
(614) 722-2000
Address
455 Executive Campus Dr
Enumeration Date
5 June 2006
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
5698809382
Group Practice PAC ID
8921068149
Professional Enrollment ID
I20100817000888
Address ID
OH432052664Co700XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,804 DIAGNOSTIC RADIOLOGY in OH

Provider Addresses for MARK J HOGAN (MD)

  • 455 Executive Campus Dr

    Westerville, OH 430828870

    Phone: (614) 722-2000

    Type: Location

  • 2213 Cherry St

    Toledo, OH 436082603

    Phone: (419) 251-7960

    Type: Location

  • Nationwide Children's Hospital, 700, Children's Drive, Livingston Park, Columbus, Franklin, Ohio, 43205, United States

    COLUMBUS, OH 432052664

    Phone: (614) 722-2000

    Type: Mailing

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: 2010-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100817000888IDiagnostic RadiologyOHTBD

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.

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

Insurance plans in this area (ZIP 43082)

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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: 8921068149View full group profile
NameSpecialtyState
Diagnostic RadiologyOH
Diagnostic RadiologyOH
-OH
Diagnostic RadiologyOH
Interventional Radiology, Nuclear MedicineIN
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Nurse PractitionerOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH

Reviews

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Frequently asked questions

How is MARK J HOGAN (MD) identified in CMS data?
CMS-hosted NPPES data lists MARK J HOGAN (MD) with NPI 1104865468.
Does CMS list MARK J HOGAN (MD) as active?
Yes — MARK J HOGAN (MD) is active in the NPI listing used on this page.
What taxonomy line describes MARK J HOGAN (MD)?
For research purposes, treat MARK J HOGAN (MD) as Vascular & Interventional Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is MARK J HOGAN (MD) based?
MARK J HOGAN (MD) is tied to Westerville, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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