✓ Licensed & Credentialed Contractor (171W00000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

MARK J HAMEL (NPI #1184218943)

Contractor • BALTIC, CT • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1184218943
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
171W00000X
Licensed & Credentialed Contractor
Box 32 Service Location & ZIP+4
186A MAIN ST, BALTIC, CT, 06330-1349
✓ 9-Digit EDI 837 ZIP+4 (06330-1349)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1184218943 (MARK J HAMEL) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1184218943 (NPI-1 Individual Practitioner)
Provider / Legal NameMARK J HAMEL
Plain-English SpecialtyLicensed & Credentialed Contractor
NUCC Code: 171W00000X (Contractor)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address186A MAIN ST, BALTIC, CT, 06330-1349
Practice Telephone / FaxTel: (860) 333-0860
Administrative Mailing Address186A MAIN ST, BALTIC, CT, 06330-1349
Enumeration & Last SyncEnumerated: 2021-02-23 | CMS Record Updated: 2021-02-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

186A MAIN ST, BALTIC, CT, 06330-1349

🗺️ Open in Google Maps 🏥 More Providers in BALTIC

Plain-English Taxonomy & CMS Crosswalk (171W00000X)

What Does Taxonomy Code 171W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171W00000X translates to:
"Licensed & Credentialed Contractor"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Contractor for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MARK J HAMEL)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
171W00000X — Contractor
Plain English: Licensed & Credentialed Contractor
State: CT | License: 207568182 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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