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

Mark Richard Ippolito, MD

Individual provider Sleep Medicine (Psychiatry & Neurology) Physician · NPI 1720042179

Mark Richard Ippolito, MD is a Neurology in Charlotte, North Carolina. Graduated from State University of New York at Buffalo School of Medicine in 1992, 34 years ago. Practices with Scl Health Montana, a 38-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
34
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NC
In the registry since
2006
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

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone: (704) 384-9437
Fax: (704) 384-9440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1918 Randolph Rd, Charlotte, NC 28207-1100 — (704) 384-9437

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 2000-00076 (NC)
Sleep Medicine (Psychiatry & Neurology) Physician Taxonomy 2084S0012X · Licence 2000-00076 (NC)

Record details

NPI number1720042179
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2006
Last updated in NPPESOctober 25, 2020
Certification dateSeptember 25, 2020

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Scl Health Montana — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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