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

Dr. Mark T. Baesl, MD

Individual provider Diagnostic Radiology Physician · NPI 1750547386

Dr. Mark T. Baesl, MD is a Diagnostic Radiology in Syracuse, New York. Qualified in 2004, 22 years ago. Practices with Prospect Hill Radiology Group P C, a 15-clinician group and accepts Medicare assignment. Licensed in New Jersey, New York and Pennsylvania.

Years since qualifying
22
Licensed in
NJ, NY, PA
In the registry since
2008
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 Prospect Ave Dept OF Radiology
Syracuse, NY 13203-1807
Phone: (315) 703-2138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 260730 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD438193 (PA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD438193 (PA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 25MA08811900 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 260730 (NY)

Record details

NPI number1750547386
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 4, 2008
Last updated in NPPESFebruary 5, 2013

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Prospect Hill Radiology Group P C — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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