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

Mark Joseph Mandichak, MD

Individual provider Internal Medicine Physician · NPI 1386849644

Mark Joseph Mandichak, MD is an Internal Medicine in Charlottesville, Virginia. Graduated from Jefferson Medical College of Thomas Jefferson University in 2007, 19 years ago. Practices with Eventus Premier Healthcare LLC, a 107-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
19
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
VA
In the registry since
2007
Specialties on file
2
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

500 Martha Jefferson Dr
Charlottesville, VA 22911
Phone: (434) 654-7580
Fax: (434) 654-7582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2010 Health Campus Dr, Rockingham, VA 22801-8679 — (540) 689-1110

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 0101246995 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0101246995 (VA)

Record details

NPI number1386849644
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2007
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address2313 Ferndown Ln, Keswick, VA 22947-9191

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2007 (19 years in practice)
Group practice Eventus Premier Healthcare Llc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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