Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark David Pell, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1639433261

Dr. Mark David Pell, DPM is a Podiatry in Southgate, Kentucky. Qualified in 2010, 16 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Pennsylvania.

Years since qualifying
16
Licensed in
KY, PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

525 Alexandria Pike
Southgate, KY 41071-3290
Phone: (859) 212-0175
Fax: (859) 441-3698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 James Simpson Jr Way, Covington, KY 41011-0801 — (859) 212-0175

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 243972 (KY)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence SC006335 (PA)

Record details

NPI number1639433261
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 28, 2012
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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