Mark J Niederee, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0427729 Issued in KS

Practice address

1515 S Clifton Ave Ste 250
Wichita, KS 67218-2952

Phone

(316) 686-1991

Fax

(316) 686-2309

NPI assigned

Jul 7, 2005

Last updated

Aug 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Kansas School of Med (KC/Wich/Sal), 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wichita Surgical Specialists PAGroup PAC ID 6507840634, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• Rock Regional Hospital, LLC Hospital, Derby, KS, CCN 170204
• Kansas Medical Center LLC Hospital, Andover, KS, CCN 170197

Merit-based Incentive Payment System (MIPS)

Final score

86.54 of 100Reported as individual

Quality

74.62

Promoting interoperability

89

Improvement activities

40

Cost

89.67

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.niederee@khindirect.org

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

• Wichita Surgical Specialists PA

  • Surgery Physician
  • Wichita, KS
  • NPI 1154302180
  Medicare reassignment Care Compare group NPD

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

• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation
• Kansas Medical Center LLC

  • General Acute Care Hospital
  • Andover, KS
  • NPI 1255380127
  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1063419844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144923",
            "telephone_number": "316-263-0296",
            "fax_number": "316-263-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE STE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182952",
            "telephone_number": "316-686-1991",
            "fax_number": "316-686-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDEREE",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0427729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100455310A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Nickelson
• Travis Ryan Nickelson, MSN, APRN
• Stephanie R Nicks, MSN, ARNP, FNP
• Nicole Nguyen Therapy, LLC
• Jack Andrew Niederee
• Myra K Niederee, SLP
• Mary L Nielsen, M.D.
• Pamela Paige Nielsen
• Jayne Ann Niemann, BSN RN CNN
• Kaitlyn Rose Niemer, ATC

• Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.