Individual provider Active NPI

Mark D Kline, MD

  • Specialist
  • Hiawatha, IA
National Provider Identifier
1003896176
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32694 Issued in IA
Practice address
1550 Boyson Rd
Hiawatha, IA 52233-2362
Phone
(319) 743-7300
Fax
(319) 743-7311
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32694 IA Primary

Addresses

Primary practice location

1550 Boyson Rd
Hiawatha, IA 52233-2362

Mailing address

1550 Boyson Rd
Hiawatha, IA 52233-2362
Phone (319) 743-7300

Other identifiers 1

IdentifierTypeStateIssuer
182808MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Uniformed Services Uhs Fe Hebert School of Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Therapy Services, IncGroup PAC ID 7618985714, 124 clinicians

Practice addresses (Care Compare)

4135 Pennsylvania Ave
Dubuque, IA 52002-2628

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32694IAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Linn County Anesthesiologists, P.C. Specialist CurrentSince May 1, 1999 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients

Locations

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

1550 Boyson Rd
Hiawatha, IA 52233
Phone (319) 743-7300

Interoperability endpoints

  • Direct secure messaging: mkline40891@direct.unitypoint.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003896176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 BOYSON RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332362",
            "telephone_number": "319-743-7300",
            "fax_number": "319-743-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 BOYSON RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332362",
            "telephone_number": "319-743-7300",
            "fax_number": "319-743-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "32694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182808",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

Verify at the official NPI Registry.