Active NPI
Mark Charles Steckel, MD
- Surgery Physician
- Fairfield, CT
National Provider Identifier
1124198742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 030168
- Practice address
- 140 Sherman Street
Fairfield, CT 06824 - Phone
- (203) 256-1320
- Fax
- (203) 256-8736
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 030168 | CT | Primary |
Addresses
Primary practice location
140 Sherman Street
Fairfield, CT 06824
Mailing address
140 Sherman Street
Fairfield, CT 06824
Phone (203) 256-1320
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 659754 | Other | EVER CARE | |
| 061342508 | Other | CT | AARP |
| 061342508 | Other | MULTI PLAN | |
| 2S156 | Other | OXFORD HEALTH | |
| 642508 | Other | CTCARE | |
| 001301689 | Other | COMMUNITY HEALTH NETWORK | |
| 001786 | Other | HEALTH NET | |
| 061342508 | Other | CONNECTICUT HEALTH PLAN | |
| 061342508 | Other | HEALTH CONNECTICUT | |
| C00813 | Other | TRI STATE HEALTHNET | |
| 061342508 | Other | UNITED HEALTHCARE | |
| 061342508 | Other | CHOICE CARE NETWORK | |
| 010030168CT03 | Other | ANTHEM BLUE CROSS AND BLU | |
| 123235 | Other | CT | AETNA |
| 001301689 | Medicaid | CT | |
| 061342508 | Other | FIRST HEALTH NETWORK | |
| 061342508 | Other | GREAT WEST NETWORK | |
| 061342508 | Other | HMC PPO INC NORTHEAST HEA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111208000743 | CT | Practitioner - Ophthalmology | 8820263478 | Practice locations: Fairfield, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- State University of New York at Buffalo School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
140 Sherman St
Fairfield, CT 06824-5849
Phone (203) 256-1320
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030168 | CT | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1124198742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 SHERMAN STREET",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "06824",
"telephone_number": "203-256-1320",
"fax_number": "203-256-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 SHERMAN STREET",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "06824",
"telephone_number": "203-256-1320",
"fax_number": "203-256-8736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STECKEL",
"first_name": "MARK",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "030168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVER CARE",
"identifier": "659754",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP",
"identifier": "061342508",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI PLAN",
"identifier": "061342508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH",
"identifier": "2S156",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CTCARE",
"identifier": "642508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH NETWORK",
"identifier": "001301689",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "001786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICUT HEALTH PLAN",
"identifier": "061342508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CONNECTICUT",
"identifier": "061342508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI STATE HEALTHNET",
"identifier": "C00813",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "061342508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICE CARE NETWORK",
"identifier": "061342508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS AND BLU",
"identifier": "010030168CT03",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "123235",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001301689",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH NETWORK",
"identifier": "061342508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST NETWORK",
"identifier": "061342508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMC PPO INC NORTHEAST HEA",
"identifier": "061342508",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.