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

Mark S. Adickes, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1770673428

Mark S. Adickes, MD is an Orthopedic Surgery in Houston, Texas. Graduated from Harvard Medical School in 2000, 26 years ago. Practices with Mark Provenzano MD PA, a 5-clinician group. Licensed in Texas.

Years since qualifying
26
Trained at
Harvard Medical School
Licensed in
TX
In the registry since
2006
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

950 Campbell Rd
Houston, TX 77024
Phone: (713) 464-0077
Fax: (713) 464-9582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence M3840 (TX)

Record details

NPI number1770673428
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESDecember 6, 2023
Mailing address950 Campbell Road, Houston, TX 77024

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2000 (26 years in practice)
Group practice Mark Provenzano Md Pa — 5 clinicians
Accepts Medicare assignment Not indicated

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